NPI 1033803036

Aquarius D Jackosn

Practitioner Behavior Technician East Hartford, CT

Practice location

Address: 77 Hartland St STE 108, East Hartford, CT 06108-3259
Phone: (860) 453-5089
Mailing address: 35 Ginger Ln APT 243, East Hartford, CT 06118-1298

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Connecticut →

Registry record

NPI: 1033803036
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2023
Record last updated: 5 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.