Individual
BLESSING JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24124 CINCO VILLAGE CENTER BLVD STE 200, KATY, TX 77494-8389
(832) 263-6634
Mailing address
24124 CINCO VILLAGE CENTER BLVD STE 200, KATY, TX 77494-8389
(832) 263-6634
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-226925
TX
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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