Individual
JOY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11536 S MORGAN ST, CHICAGO, IL 60643-5252
(708) 743-8771
Mailing address
11536 S MORGAN ST, CHICAGO, IL 60643-5252
(708) 743-8771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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