Individual
TERRI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CRESCENT CT APT 1, NEWARK, NJ 07106-3704
(201) 455-4323
Mailing address
1 CRESCENT CT APT 1, NEWARK, NJ 07106-3704
(201) 455-4323
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
06/05/2025
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