Carrie Rae Jackson MS, BCBA

NPI 1588935258 - Psychologist - 103TB0200X

NPI Details
NPI 1588935258
Gender Female
Enumeration Date 01/26/2012
Last Updated 01/26/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
10715 BABCOCK BLVD
GIBSONIA PA, 15044-8977, US
Phone (412) 498-9128
Fax (724) 502-4510
Business Location
10715 BABCOCK BLVD
GIBSONIA PA, 15044-8977, US
Phone (412) 498-9128
Fax (724) 502-4510
Toxanomy
Taxonomy Code 103TB0200X
License State Pennsylvania
License Number 1-05-2589
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According to our database, Carrie Rae Jackson MS, BCBA NPI is 1588935258, taxonomy code is 103TB0200X and license number is 1-05-2589, license state is located at Pennsylvania. Carrie Rae Jackson MS, BCBA physically located at 10715 Babcock Blvd, Gibsonia PA, 15044-8977. NPI Number Carrie Rae Jackson MS, BCBA has the Individual type.

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1588935258 NPI number is provided on an as is basis without warranty of any kind. 1588935258 is maintained by the National Plan & Provider Enumeration System. The contents of Carrie Rae Jackson MS, BCBA are for informational purposes only.