Individual provider · Type 1 NPI

Tanya L. Jackson, ABA TECHNICIAN

Other Technician · Benton Harbor, MI

NPI number 1639527112 Active

Practice location

1220 Pearl St
Benton Harbor, MI 49022-5539

Mailing address

3916 Stonegate, Centria Healthcare
St. Joseph, MI 49022

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1639527112

Tanya L. Jackson, ABA TECHNICIAN's National Provider Identifier is 1639527112, issued on May 25, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Benton Harbor, MI. The record was last updated on May 25, 2016.