Most Relevant Information
Provider Data
| NPI Number: | 1003277997 |
| Provider Name: | RICK JACKSON |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2016 |
| Last Updated: | 03/19/2016 |
Provider Practice Location
34225 N 27TH DR STE 5
PHOENIX
AZ
850856087
Practice Location Phone/Fax
| Phone: | 6028101210 |
| Fax: | 5612823238 |
Provider Mailing Location
34225 N 27TH DR STE 5
PHOENIX
AZ
850856087
Provider Mailing Phone/Fax
| Phone: | 6028101210 |
| Fax: | 5612823238 |