MICHAEL L JACKSON

LOUISVILLE, KY
NPI1568243897
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence:   RBT-23-286677)
Enumeration Date2023-10-12
Last Update Date2023-10-12
Business Address
MICHAEL L JACKSON RBT
175 MARKET PLACE DR STE A
LOUISVILLE, KY 40229-4471
Phone number: 502-251-7002
Mailing Address
MICHAEL L JACKSON RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885