NPI 1043830680

Keri Alyse Jackson

Practitioner Behavior Analyst Joliet, IL

Practice location

Address: 3411 Grass Lake Dr, Joliet, IL 60435-8799
Phone: (708) 369-9062

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1043830680
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2020
Record last updated: 23 Apr 2020

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.