Individual
MALIK JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8915 S PECOS RD STE 20A, HENDERSON, NV 89074-7153
(435) 705-7574
Mailing address
8915 S PECOS RD STE 20A, HENDERSON, NV 89074-7153
(435) 705-7574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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