NPI 1164990826

Brianna Mo'Nique Jackson

Practitioner Assistant Behavior Analyst Monroe, LA

Practice location

Address: 1610 Jackson St, Monroe, LA 71202-2030
Phone: (408) 966-4504
Mailing address: 3000 Evangeline St APT 118, Monroe, LA 71201-3803

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1164990826
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2018
Record last updated: 10 Nov 2018

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.