Marcus Jackson

Behavior Analyst · Evanston, IL

Individual Active NPI

NPI number 1710754940

Practice location

1638 Maple Ave
Evanston, IL 60201-3602
Phone
(866) 815-6592

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NPI record

NPI
1710754940
Entity type
Individual (Type 1)
Enumeration date
December 7, 2023
Last updated
December 7, 2023
Certified
December 7, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

7312 N Greenview Ave Apt 3
Chicago, IL 60626-2451
Phone
(517) 219-7776

About Marcus Jackson

Marcus Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1638 Maple Ave, Evanston, IL 60201-3602. The NPI number 1710754940 was assigned on December 7, 2023 and the record was last updated on December 7, 2023.

Frequently asked questions

What is the NPI number of Marcus Jackson?

The NPI number is 1710754940.

What is the phone number of Marcus Jackson?

The phone number listed for the practice location is (866) 815-6592.

Where is Marcus Jackson located?

1638 Maple Ave, Evanston, IL 60201-3602.

What is the taxonomy code for Marcus 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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