GWEN JACKSON, RBT
Behavior Technician
Active
Individual
NPI: 1366123838
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | RBT-22-251702 (TX) |
Frequently Asked Questions
NPI 1366123838 is the National Provider Identifier for GWEN JACKSON, RBT, a Behavior Technician provider located in Edmond, OK. This NPI was enumerated on July 27, 2023.
GWEN JACKSON, RBT practices at 330 W EDMOND RD, Edmond, OK 73003.
Quick Facts
- NPI
- 1366123838
- Type
- Individual
- Enumerated
- Jul 27, 2023
- Last Updated
- Feb 21, 2025
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