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Individual

LYNSEY M JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCABA

Contact information

Practice address
14110 CYPRESS CREEK BLVD, CYPRESS, TX 77429-3214
(281) 894-1423
(281) 894-1423
Mailing address
14110 CYPRESS CREEK BLVD, CYPRESS, TX 77429-3214
(281) 894-1423
(281) 894-1423

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
008-2660
TX
174400000X
Specialist
008-2660
TX

Other

Enumeration date
01/23/2009
Last updated
01/23/2009
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