Individual
JARED H JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1332 BROADWAY ST, PEARLAND, TX 77581-6306
(346) 415-0300
Mailing address
14003 DAYRIDGE CT, HOUSTON, TX 77048-5596
(409) 454-4357
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6178
TX
Other
Enumeration date
11/30/2022
Last updated
09/20/2023
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