DOMINIQUE JACKSON
Behavior Technician
Active
Individual
NPI: 1922987148
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | - |
Frequently Asked Questions
NPI 1922987148 is the National Provider Identifier for DOMINIQUE JACKSON, a Behavior Technician provider located in Greensboro, NC. This NPI was enumerated on September 1, 2025.
DOMINIQUE JACKSON practices at 3946 EASTLAND AVE, Greensboro, NC 27401.
Quick Facts
- NPI
- 1922987148
- Type
- Individual
- Enumerated
- Sep 1, 2025
- Last Updated
- Sep 1, 2025
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