KESHAWN JACKSON

Behavior Technician

Active Individual
NPI: 1447055132

Practice Address

12452 FAIRVIEW AVE
Blue Island, IL 60406

Phone: (708) 800-4328

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1447055132 is the National Provider Identifier for KESHAWN JACKSON, a Behavior Technician provider located in Blue Island, IL. This NPI was enumerated on February 17, 2025.
KESHAWN JACKSON practices at 12452 FAIRVIEW AVE, Blue Island, IL 60406.

Quick Facts

NPI
1447055132
Type
Individual
Enumerated
Feb 17, 2025
Last Updated
Feb 17, 2025

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