Latrice Nicole Jackson
Latrice Nicole Jackson is a Behavior Technician in Dearborn, Michigan. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2021 Monroe St Ste 304Dearborn, MI 48124-2926
Phone: (517) 245-4778
Fax: (517) 698-8223
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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 | 1255045704 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 10, 2023 |
| Last updated in NPPES | January 10, 2023 |
| Certification date | January 10, 2023 |
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