Individual
ONESTIE SABINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2501 SMITH AVE, BALTIMORE, MD 21209-2505
(410) 205-9493
Mailing address
6609 WYCOMBE WAY APT C, PARKVILLE, MD 21234-6751
(410) 205-2315
(410) 205-2312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1496
MD
106S00000X
Behavior Technician
RBT-21-195595
MD
Other
Enumeration date
12/07/2021
Last updated
03/27/2023
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