AMIA JACKSON

DECATUR, IL
NPI1629855929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-09-11
Last Update Date2023-09-11
Business Address
AMIA JACKSON RBT
427 E ASH AVE
DECATUR, IL 62526-6117
Phone number: 574-387-4313
Mailing Address
AMIA JACKSON RBT
215 RED COACH DR
MISHAWAKA, IN 46545-8307
Phone number: 574-387-4313
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