Individual
YVONNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2113 FIRETHORN RD, MIDDLE RIVER, MD 21220-4806
(443) 571-3827
Mailing address
2113 FIRETHORN RD, MIDDLE RIVER, MD 21220-4806
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
04/21/2026
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