Shalia Jackson
Shalia Jackson is a Behavior Technician in Bridgeport, Michigan. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
6296 Bridgeport Village Square Dr Ste 2Bridgeport, MI 48722-9655
Phone: (989) 401-1239
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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 | 1104608652 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 19, 2023 |
| Last updated in NPPES | October 19, 2023 |
| Certification date | October 19, 2023 |
| Mailing address | 5039 Villa Linde Pkwy Ste 30, Flint, MI 48532-3450 |
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Angelina Holmes
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Tamia Jones
6296 Bridgeport Village Square Dr Ste 2, Bridgeport, MI 48722-9655 · (989) 401-1239