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1659828564
DAVID WAYNE JACKSON
COLORADO SPRINGS, CO
NPI
1659828564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TX 1-16-22915)
Enumeration Date
2016-09-08
Last Update Date
2020-11-19
Business Address
Mr. DAVID WAYNE JACKSON MED, BCBA
5526 N ACADEMY BLVD STE 109
COLORADO SPRINGS, CO 80918-3688
Phone number: 719-301-5100
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Mailing Address
Mr. DAVID WAYNE JACKSON MED, BCBA
5526 N ACADEMY BLVD STE 109
COLORADO SPRINGS, CO 80918-3688
Phone number: 719-301-5100
Copy
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