ELIZABETH JACKSON

FORT WAYNE, IN
NPI1891206389
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IN  1-17-25512)
Enumeration Date2017-10-24
Last Update Date2017-10-24
Business Address
ELIZABETH JACKSON
2270 LAKE AVE STE 101
FORT WAYNE, IN 46805-5360
Phone number: 260-444-5649
Mailing Address
ELIZABETH JACKSON
2270 LAKE AVE STE 101
FORT WAYNE, IN 46805-5360
Phone number:
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