Individual
CANDICE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 POWELL ST, B, NORRISTOWN, PA 19401-3345
(484) 362-3915
Mailing address
1222 POWELL ST, B, NORRISTOWN, PA 19401-3345
(484) 362-3915
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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