KIA JACKSON

TYLER, TX
NPI1528719267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-22-199480)
Additional Taxonomies106S00000X Behavior Technician
(Licence: TX  RBT-22-199480)
Enumeration Date2022-01-14
Last Update Date2023-02-05
Business Address
KIA JACKSON RBT
1001 W SW LOOP 323
TYLER, TX 75701-9416
Phone number: 430-205-8710
Mailing Address
KIA JACKSON RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885