NPI 1013693902

Madison Jackson

Practitioner Behavior Technician Mobile, AL

Practice location

Address: 572 Azalea Road Suite 100, Mobile, AL 36609
Phone: (251) 235-2531
Mailing address: 24253 Alydar Loop, Daphne, AL 36526

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1013693902
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2023
Record last updated: 26 Jun 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.