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1457132763
IMANI T JACKSON
LEXINGTON, KY
NPI
1457132763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-23-295950)
Enumeration Date
2023-10-12
Last Update Date
2023-10-12
Business Address
IMANI T JACKSON BS, RBT
1300 E NEW CIRCLE RD STE 150
LEXINGTON, KY 40505-4322
Phone number: 859-685-1019
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Mailing Address
IMANI T JACKSON BS, RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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