NPI 1003396797

Amara-Niani Jackson

Practitioner Behavior Technician Thurmont, MD

Practice location

Address: 6504 Mountaindale Rd, Thurmont, MD 21788-2719
Phone: (443) 243-7647

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003396797
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2018
Record last updated: 21 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.