Individual
KELSEY MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8604 LOUIS DR SE, HUNTSVILLE, AL 35802-3528
(361) 401-1734
Mailing address
8604 LOUIS DR SE, HUNTSVILLE, AL 35802-3528
(361) 401-1734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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