NPI 1023608130
Maryn Jackson
Practice location
- Address
- 3215 W Ray Rd STE 106, Chandler, AZ 85226-2425
- Phone
- (480) 893-7685
- Mailing address
- 3215 W Ray Rd, Chandler, AZ 85226-2425
Registered specialties (2)
Behavior Analyst
Primary
Behavior Technician
Registry record
- NPI
- 1023608130
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jan 2021
- Record last updated
- 15 Jan 2025
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.