Individual
KEESHA MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2365 W NORTH BEND RD APT 2, CINCINNATI, OH 45239-6853
(513) 953-8168
Mailing address
2365 W NORTH BEND RD APT 2, CINCINNATI, OH 45239-6853
(513) 953-8168
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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