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Shaneeka Jackson
NPI 1508424201 · on the registry since 2019
Practice
- Address
- 535 Flushing Ave
Brooklyn, NY 11205 - Phone
- (929) 800-2340
- Organisation at this address
- Owl Early Intervention Program, Llc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York