Organization
JOYCE JACKSON
Active
Other names
Lifelong Exceptional Autism Programs
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE JACKSON (SOLE PROPRIETOR)
(816) 873-5327
Entity
Organization
Contact information
Practice address
9900 ANTIOCH RD, OVERLAND PARK, KS 66212-4134
(816) 873-5327
Mailing address
9900 ANTIOCH RD, OVERLAND PARK, KS 66212-4134
(816) 873-5327
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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