Individual
WILLIE LEE JACKSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 N WEST ST, WILMINGTON, DE 19801-1047
(855) 832-6727
Mailing address
342 SIMON CIR, DOVER, DE 19904-3438
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
DE
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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