Individual
CHRISTIAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12240 INDIAN CREEK CT, BELTSVILLE, MD 20705-1242
(201) 979-1336
(908) 940-0338
Mailing address
175 BELGROVE DR, KEARNY, NJ 07032-1507
(201) 979-1336
(201) 979-1336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BT
MD
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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