Individual
CHARDAE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 KEENE AVE APT A, SALISBURY, MD 21801-3200
(443) 944-2531
Mailing address
401 KEENE AVE APT A, SALISBURY, MD 21801-3200
(443) 944-2531
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/30/2026
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