Micha Jackson
Micha Jackson is a Behavior Technician in Cape Girardeau, Missouri. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3037 Lexington AveCape Girardeau, MO 63701-2602
Phone: (573) 708-7250
Fax: (800) 687-5070
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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 | 1164179420 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 7, 2022 |
| Last updated in NPPES | March 7, 2022 |
| Certification date | March 7, 2022 |
| Mailing address | 4721 S Cliff Ave Ste 103, Independence, MO 64055-6969 |
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