Individual
JACQUELINE SWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 HENDERSON DR, JACKSONVILLE, NC 28546-5246
(910) 218-1775
Mailing address
1701 QUARTERS LANDING CIR APT 717, SNEADS FERRY, NC 28460-8099
(910) 261-3444
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3037
NC
106S00000X
Behavior Technician
RBT-16-14693
NC
Other
Enumeration date
06/01/2021
Last updated
07/07/2025
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