Individual
DARREN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4717 E MCDOWELL RD, PHOENIX, AZ 85008-4544
(602) 472-3085
Mailing address
5685 ADAVAN CT, LAS VEGAS, NV 89149-3966
(702) 986-9413
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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