Individual
NYKARA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11306 SIR WINSTON ST BLDG F, SAN ANTONIO, TX 78216-2467
(210) 366-0049
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
43872079
TX
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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