NPI 1003646621

Brandon Jackson

Practitioner Behavior Technician Cincinnati, OH

Practice location

Address: 3270 N Bend Rd, Cincinnati, OH 45239-7611
Phone: (410) 645-8666
Mailing address: 1715 Gwynn Oak Ave, Gwynn Oak, MD 21207-5280

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Ohio →

Registry record

NPI: 1003646621
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2024
Record last updated: 7 Aug 2024

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.