TYLA JACKSON
Case Manager/Care Coordinator
Active
Individual
NPI: 1215420435
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | No | - |
| Case Manager/Care Coordinator | 171M00000X | Yes | - |
Frequently Asked Questions
NPI 1215420435 is the National Provider Identifier for TYLA JACKSON, a Case Manager/Care Coordinator provider located in Pawtucket, RI. This NPI was enumerated on June 12, 2018.
TYLA JACKSON practices at 70 WOOD ST APT 22, Pawtucket, RI 02860.
Quick Facts
- NPI
- 1215420435
- Type
- Individual
- Enumerated
- Jun 12, 2018
- Last Updated
- Dec 11, 2020
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DANIEL REYES, MASTERS
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