Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marry Emma Jackson, QMHSASSOC

Individual provider Behavior Technician · NPI 1871254631

Marry Emma Jackson, QMHSASSOC is a Behavior Technician in Moraine, Ohio. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

5290 Cobblegate Drive 7th Fl
Moraine, OH 45439-4540
Phone: (937) 293-2510
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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 number1871254631
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHSASSOC
Sole proprietorNo
NPI enumeratedJanuary 4, 2022
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022

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