SHANTARA ALEXANDRIA JACKSON

WOODBURY, MN
NPI1467314039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-12-02
Last Update Date2025-12-02
Business Address
SHANTARA ALEXANDRIA JACKSON
7805 HUDSON RD SUITE 190
WOODBURY, MN 55125
Phone number: 952-767-4200
Mailing Address
SHANTARA ALEXANDRIA JACKSON
5868 BAKER RD
MINNETONKA, MN 55345
Phone number: 952-767-4200