Individual
MS. DA'JA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 HURLBURT ST, NEW HAVEN, CT 06519-2420
(203) 464-5082
Mailing address
64 HURLBURT ST, NEW HAVEN, CT 06519-2420
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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