Tahara Jackson
Tahara Jackson is a Behavior Technician in Mesa, Arizona. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1830 S Alma School Rd Ste 130Mesa, AZ 85210-3088
Phone: (480) 902-0771
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1255061776 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 16, 2022 |
| Last updated in NPPES | June 16, 2022 |
| Certification date | June 16, 2022 |
| Mailing address | 1830 S Alma School Rd Ste 130, Mesa, AZ 85210-3088 |
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