Collin Dale Jackson
Collin Dale Jackson is a Behavior Technician in Midwest City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1717 S Air Depot BlvdMidwest City, OK 73110-5103
Phone: (405) 622-4239
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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 | 1487336988 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 3, 2023 |
| Last updated in NPPES | August 3, 2023 |
| Certification date | August 3, 2023 |
| Mailing address | 1717 S Air Depot Blvd, Midwest City, OK 73110-5103 |
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