Individual
AYANA BEATRICE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9440 MARLBORO PIKE, SUITE 100, UPPER MARLBORO, MD 20772
(844) 244-1818
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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