AYANNA JACKSON

Behavior Technician

Active Individual
NPI: 1205515525

Practice Address

111 KITFIELD RD
Moncks Corner, SC 29461

Phone: (843) 499-0516

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1205515525 is the National Provider Identifier for AYANNA JACKSON, a Behavior Technician provider located in Moncks Corner, SC. This NPI was enumerated on July 13, 2023.
AYANNA JACKSON practices at 111 KITFIELD RD, Moncks Corner, SC 29461.

Quick Facts

NPI
1205515525
Type
Individual
Enumerated
Jul 13, 2023
Last Updated
Jul 13, 2023

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