Individual
MRS. LATOYI MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
VA, BBS
Contact information
Practice address
10754 SHERIDAN DAWN CT, HENDERSON, NV 89052-8641
(248) 224-9687
Mailing address
10754 SHERIDAN DAWN CT, HENDERSON, NV 89052-8641
(248) 224-9687
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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