Brea Alysse Jackson, BT
Brea Alysse Jackson, BT is a Behavior Technician in Sherwood, Arkansas. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1540 Country Club RdSherwood, AR 72120-5095
Phone: (501) 753-5459
Fax: (501) 753-5463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1679058994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BT |
| Sole proprietor | No |
| NPI enumerated | October 2, 2018 |
| Last updated in NPPES | October 2, 2018 |
| Mailing address | 2740 College Ave, Conway, AR 72034-6141 |
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