SUMMER JACKSON

FORT WAYNE, IN
NPI1821927906
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2026-05-15
Last Update Date2026-05-15
Business Address
SUMMER JACKSON
5601 COVENTRY LN
FORT WAYNE, IN 46804-7145
Phone number: 260-459-6040
Mailing Address
SUMMER JACKSON
5601 COVENTRY LN
FORT WAYNE, IN 46804-7145
Phone number: 260-459-6040