Individual
MS. LYNN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
495 MANHATTAN AVE, NEW YORK, NY 10027-5237
(917) 513-8545
Mailing address
495 MANHATTAN AVE, NEW YORK, NY 10027-5237
(917) 513-8545
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
580916941
NY
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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