Individual
NADIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 HUNTINGTON ST APT 5, NEW LONDON, CT 06320-6231
(401) 258-7964
Mailing address
138 HUNTINGTON ST APT 5, NEW LONDON, CT 06320-6231
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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