Individual
MEKAYLA DAWN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 N PRESIDENTIAL BLVD STE 105, BALA CYNWYD, PA 19004-1107
(844) 528-1222
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016
(844) 528-1222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12581920
PA
106S00000X
Behavior Technician
—
—
374J00000X
Doula
—
—
Other
Enumeration date
06/08/2023
Last updated
07/07/2025
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