Individual
MR. JAMES W JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA
Contact information
Practice address
1111 N CEDAR RD, NEW LENOX, IL 60451-1419
(618) 201-1278
Mailing address
1111 N CEDAR RD, NEW LENOX, IL 60451-1419
(618) 201-1278
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3553
IL
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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