Mikayla Jackson
Mikayla Jackson is a Behavior Technician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2024.
- Licensed in
- IN
- In the registry since
- 2024
Practice location Address checks out
2505 E Jefferson BlvdSouth Bend, IN 46615-2635
Phone: (574) 289-4831
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (IN) |
|---|
Record details
| NPI number | 1952155178 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 15, 2024 |
| Last updated in NPPES | April 15, 2024 |
| Certification date | April 15, 2024 |
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