Ms. Courtney N Jackson
Technician/Technologist Behavior Technician
31200 Telegraph Rd Ste 205
Bingham Farms
, Michigan 48025
Ms. Courtney N Jackson
Technician/Technologist Behavior Technician
31200 Telegraph Rd Ste 205
Bingham Farms
, Michigan 48025
(248) 712-4266
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About
Features
Specialties
- Behavior Technician
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Ms. Courtney N Jackson
- 31200 Telegraph Rd Ste 205
- Bingham Farms, MI
- Zip : 48025
- Phone : (248) 712-4266
Second Address
- Ms. Courtney N Jackson
- 31200 Telegraph Rd Ste 205
- Bingham Farms, MI
- Zip : 48025
- Phone : (248) 712-4266
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | ||
| Y | 156F00000X | Technician/Technologist |
National Provider Identifier
| NPI | 1124582267 |
|---|---|
| Provider Name | Ms. Courtney N Jackson |
| First Address | Bingham Farms, MI 48025 |
| Second Address | Bingham Farms, MI 48025 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2019 |
| Last Update Date | 17/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.