Individual
A'NEISHIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5000
Mailing address
1623 MCKEAN AVE, BALTIMORE, MD 21217-1612
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
106S00000X
Behavior Technician
—
MD
Other
Enumeration date
10/22/2024
Last updated
01/14/2026
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