SHANIYA JACKSON

LOUISVILLE, KY
NPI1700472255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: KY  RBT-20-146919)
Enumeration Date2020-12-18
Last Update Date2020-12-18
Business Address
SHANIYA JACKSON RBT
215 S HURSTBOURNE PKWY STE 213
LOUISVILLE, KY 40222-4937
Phone number: 502-353-2074
Mailing Address
SHANIYA JACKSON RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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