Individual
SHERRYANN JACKSON-ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
327 BEACH 40TH ST, FAR ROCKAWAY, NY 11691-1412
(347) 252-7539
Mailing address
327 BEACH 40TH ST, FAR ROCKAWAY, NY 11691-1412
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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