TIANA I JACKSON

LEXINGTON, KY
NPI1427734615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence:   RBT-23-275847)
Enumeration Date2023-06-23
Last Update Date2023-06-23
Business Address
TIANA I JACKSON RBT
1300 E NEW CIRCLE RD STE 150
LEXINGTON, KY 40505-4322
Phone number: 859-685-1019
Mailing Address
TIANA I JACKSON RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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