FAYETTE JACKSON-LONG

BOSTON, MA
NPI1790418002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-07-05
Last Update Date2022-07-05
Business Address
FAYETTE JACKSON-LONG
418 CENTRE ST UNIT C
BOSTON, MA 02130-5197
Phone number: 800-249-1266
Mailing Address
FAYETTE JACKSON-LONG
1301 E ORANGEWOOD AVE
ANAHEIM, CA 92805-6807
Phone number:
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