Individual
MORGAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
612 E BOULEVARD, KOKOMO, IN 46902-2271
(765) 461-1245
(765) 319-0660
Mailing address
612 E BOULEVARD, KOKOMO, IN 46902-2271
(765) 461-1245
(765) 319-0660
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
1-19-9542
IN
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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