Individual
DEBORAH RENE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6104 ALDERMAN DR NW, ALBUQUERQUE, NM 87120-5404
(770) 744-9615
Mailing address
6104 ALDERMAN DR NW, ALBUQUERQUE, NM 87120-5404
(770) 744-9615
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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