Jackson, Shannon

Jackson, Shannon is an individual health care provider with primary practice located at 2325 Nw 115Th St , Oklahoma City OK 73120-7309. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Jackson, Shannon can be contacted via phone (405) 830-1094.

Contact Information

Primary practice address
2325 Nw 115Th St Oklahoma City OK 73120-7309
Phone: (405) 830-1094
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1598027393
LBN Legal business name Jackson, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Jun 8th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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