Individual
TARAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 LONGO DR, BELLEVUE, NE 68005-2901
(515) 207-5251
Mailing address
2206 LONGO DR, BELLEVUE, NE 68005-2901
(515) 207-5251
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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