Destiny Jackson
Destiny Jackson is a Behavior Technician in Pontiac, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
91 N Saginaw St Ste 101Pontiac, MI 48342-2165
Phone: (248) 977-5310
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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 | 1588394381 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 14, 2022 |
| Last updated in NPPES | June 14, 2022 |
| Certification date | June 14, 2022 |
| Mailing address | 91 N Saginaw St Ste 101, Pontiac, MI 48342-2165 |
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