Individual
KANIYAH I MANUEL-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4023 KENNETT PIKE # 988, WILMINGTON, DE 19807-2018
(877) 504-4141
Mailing address
1 HERON CT, NEWARK, DE 19702-4212
(877) 504-4141
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
DE
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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