SHANASIA JACKSON

COLUMBIA, SC
NPI1780545434
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence:   RBT-25-491225)
Enumeration Date2025-11-21
Last Update Date2025-11-21
Business Address
SHANASIA JACKSON RBT
426 BUSH RIVER RD
COLUMBIA, SC 29210-7312
Phone number: 803-335-0718
Mailing Address
SHANASIA JACKSON RBT
16255 VENTURA BLVD STE 900
ENCINO, CA 91436-2317
Phone number:
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ISIS LINNEN-REID