Individual
KENTA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 HEIGHT ST, WEST MONROE, LA 71291-5216
(318) 267-1749
(318) 239-3867
Mailing address
223 HEIGHT ST, WEST MONROE, LA 71291-5216
(318) 267-1749
(318) 239-3867
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
07/21/2022
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