Individual
DANA G JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
205 W FRANCISCAN DR, CROWN POINT, IN 46307-4802
(888) 419-2576
Mailing address
2003 ARROWHEAD DR APT 1B, MERRILLVILLE, IN 46410-4952
(219) 455-5963
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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