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Individual
HEYWARD JACKSON JR.
Active
Individual
HEYWARD JACKSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADCI
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
01/19/2012
Last updated
02/22/2023
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