Individual
AMBER MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51111 WOODWARD AVE STE 150, PONTIAC, MI 48342-5037
(248) 977-5310
(248) 920-0386
Mailing address
510 W NORTHFIELD AVE, PONTIAC, MI 48340-1325
(248) 877-8314
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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