Individual
ALEXES JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1349 S HURON ST, YPSILANTI, MI 48197-7021
(313) 758-7693
Mailing address
1349 S HURON ST, YPSILANTI, MI 48197-7021
(313) 758-7693
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001747
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/28/2017
Last updated
04/11/2022
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