NPI | 1831743897 |
---|---|
Professional Name | AURIEL JACKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-19-36038) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AL 2019-040) |
Enumeration Date | 2019-07-29 |
Last Update Date | 2024-03-29 |