Leequan Mark Anthony Jackson
Leequan Mark Anthony Jackson is a Behavior Technician in Pasadena, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
22763 Dept LAPasadena, CA 91185-0001
Phone: (866) 523-4268
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1851012140 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 6, 2022 |
| Last updated in NPPES | September 6, 2022 |
| Certification date | September 6, 2022 |
| Mailing address | 22763 Dept La, Pasadena, CA 91185-0001 |
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