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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAVIN JACKSON

Active Sole Proprietor

LAVIN JACKSON is a Behavior Technician healthcare provider located in FRUITLAND, New Mexico. NPI 1831763598 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · FRUITLAND, NM

Registration Details

NPI Number
1831763598
Provider Type
Individual
Gender
Male
NPI Issued
May 18, 2021 (5.2569701597617 yrs)
Last Updated
May 18, 2021
Sole Proprietor
Yes

Practice Information

Address
N36
FRUITLAND, NM, 87416
Browse NM providers · Browse ZIP 87416
Phone
5053608309
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in FRUITLAND, NM

Name Credential NPI
JENNIFER ALLEN 1740809151
ALLISON ARDEL 1891305637
AMBER BENALLY 1972187904
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.