NPI 1003502261

Jackson Daniel Sosin

Practitioner Behavior Technician Las Cruces, NM

Practice location

Address: 1675 Hickory Loop, Las Cruces, NM 88005-6587
Phone: (575) 652-3155
Fax: (505) 441-2871
Mailing address: 301 Perkins Dr STE B, Las Cruces, NM 88005-3248

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in New Mexico →

Registry record

NPI: 1003502261
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2023
Record last updated: 12 Apr 2023

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.