Individual
KENDRA D JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAHSM
Contact information
Practice address
8136 JAMES CT APT A, OKLAHOMA CITY, OK 73145-4446
(405) 535-9363
Mailing address
PO BOX 45717, OKLAHOMA CITY, OK 73145-0717
(405) 535-9363
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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