Individual
LAURA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
114 JOANNE LN, DEKALB, IL 60115-1908
(312) 826-1261
Mailing address
114 JOANNE LN, DEKALB, IL 60115-1908
(312) 826-1261
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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