Individual
UNIQUE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10999 RED RUN BLVD STE 205, OWINGS MILLS, MD 21117-3249
(443) 469-6216
Mailing address
10999 RED RUN BLVD STE 205, OWINGS MILLS, MD 21117-3249
(443) 469-6216
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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