Individual
PAUL JOHN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13322 I ST, OMAHA, NE 68137-1111
(402) 230-5861
Mailing address
3801 UNION DR STE 206, LINCOLN, NE 68516-6652
(509) 494-9191
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-213386
NE
Other
Enumeration date
04/28/2022
Last updated
04/05/2024
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