Individual
JACKSON OSARO OKONOFUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2917 MARLOW RD, SILVER SPRING, MD 20904-7126
(301) 793-8884
Mailing address
2917 MARLOW RD, SILVER SPRING, MD 20904-7126
(301) 793-8884
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/25/2023
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