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Geena Jackson

Behavior Technician in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1053948992
StatusActive
Last updated in NPPESMar 23, 2020

Details

NPI
1053948992
Entity type
Individual (NPI-1)
Name
Geena Jackson
Sex
Female
Sole proprietor
No
Enumeration date
Mar 23, 2020
Certification date
Mar 23, 2020
Last updated
Mar 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician20114762OKYes

Practice location

13404 N Meridian Ave
Oklahoma City, OK 73120-8311

Phone 405-752-2264

Mailing address

13404 N Meridian Ave
Oklahoma City, OK 73120-8311

Phone 405-752-2264

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