Individual
ARIANA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11135 HARLEM RD STE 250, RICHMOND, TX 77406-3657
(281) 725-6325
Mailing address
11135 HARLEM RD STE 250, RICHMOND, TX 77406-3657
(281) 725-6325
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-205884
TX
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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