Individual
AUNDREA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 SAWDUST RD # F, SPRING, TX 77380-2366
(936) 206-5158
Mailing address
25925 BUDDE RD, SPRING, TX 77380-2011
(281) 465-4468
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
02/09/2024
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