Individual
KAITLYNN F JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LABA
Contact information
Practice address
31 HILLER RD, ROCHESTER, MA 02770-4024
(774) 454-1994
(508) 273-2353
Mailing address
53 MARION RD UNIT 2, WAREHAM, MA 02571-1406
(774) 454-1994
(508) 273-2353
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
10/17/2023
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