LASCHAY JACKSON

Behavior Technician

Active Individual
NPI: 1376493346

Practice Address

20700 CIVIC CENTER DR STE 110
Southfield, MI 48076

Phone: (800) 385-1035

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1376493346 is the National Provider Identifier for LASCHAY JACKSON, a Behavior Technician provider located in Southfield, MI. This NPI was enumerated on January 30, 2026.
LASCHAY JACKSON practices at 20700 CIVIC CENTER DR STE 110, Southfield, MI 48076.

Quick Facts

NPI
1376493346
Type
Individual
Enumerated
Jan 30, 2026
Last Updated
Jan 30, 2026

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