Karen Jackson
Behavior Technician in Rockville, MD. Individual provider (NPI-1).
NPI number1104792308
StatusActive
Last updated in NPPESOct 14, 2025
Details
- NPI
- 1104792308
- Entity type
- Individual (NPI-1)
- Name
- Karen Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2025
- Certification date
- Oct 14, 2025
- Last updated
- Oct 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2000 Tower Oaks Blvd Ste 500Rockville, MD 20852-4377
Phone 301-444-5001
Mailing address
2000 Tower Oaks Blvd Ste 500Rockville, MD 20852-4377
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