Individual
KENDRA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6620 OLD MADISON PIKE NW APT 416, HUNTSVILLE, AL 35806-2135
(256) 441-4215
Mailing address
6620 OLD MADISON PIKE NW APT 416, HUNTSVILLE, AL 35806-2135
(256) 441-4215
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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