EBONY LOUISE JACKSON

NPI: 1508621731 · Individual · Active

Primary Specialty

Behavior Technician

Practice Location

1711 CENTRAL AVE
SUMMERVILLE, SC 29483-9320 Map ↗
Phone: 843-934-1981

All Specialties & Licenses

  • Behavior Technician Primary (license: 23-268294, CO)

NPI Registration

Enumerated: 2024-02-16

Last CMS Update: 2024-02-16