Individual
BROOKE LYNN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2710 N MASON RD STE 170, KATY, TX 77449-4180
(281) 505-9338
Mailing address
2710 N MASON RD STE 170, KATY, TX 77449-4180
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-272468
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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