Individual
JAYLA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5540 W 111TH ST, OAK LAWN, IL 60453-5574
(708) 634-0821
Mailing address
2330 182ND PL, LANSING, IL 60438-2689
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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