Individual
AISHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1698 POINT DR, BENSALEM, PA 19020-2401
(184) 552-0083
Mailing address
1698 POINT DR, BENSALEM, PA 19020-2401
(184) 552-0083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003896
PA
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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