Renee E. Jackson

Behavior Analyst · Flossmoor, IL

Individual Active NPI

NPI number 1154628741

Practice location

19530 Kedzie Ave
Flossmoor, IL 60422-1778
Phone
(708) 799-2200

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NPI record

NPI
1154628741
Entity type
Individual (Type 1)
Enumeration date
February 17, 2011
Last updated
February 17, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

17746 Oak Park Ave
Tinley Park, IL 60477-3936

About Renee Jackson

Renee E. Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 19530 Kedzie Ave, Flossmoor, IL 60422-1778. The NPI number 1154628741 was assigned on February 17, 2011 and the record was last updated on February 17, 2011.

Frequently asked questions

What is the NPI number of Renee E. Jackson?

The NPI number is 1154628741.

What is the phone number of Renee Jackson?

The phone number listed for the practice location is (708) 799-2200.

Where is Renee Jackson located?

19530 Kedzie Ave, Flossmoor, IL 60422-1778.

What is the taxonomy code for Renee Jackson?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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