Brian Jackson Sr.
Day Training/Habilitation Specialist in Pittsburg, CA. Individual provider (NPI-1).
NPI number1497464010
StatusActive
Last updated in NPPESApr 28, 2025
Details
- NPI
- 1497464010
- Entity type
- Individual (NPI-1)
- Name
- Brian Jackson Sr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2022
- Certification date
- Apr 28, 2025
- Last updated
- Apr 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 172V00000X | Community Health Worker | – | CA |
Practice location
51 Marina BlvdPittsburg, CA 94565-2068
Phone 510-851-0027
Mailing address
150 Linden StOakland, CA 94607-2538
Phone 510-851-0027
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All 44 Day Training/Habilitation Specialist providers in Pittsburg · All 771 providers in Pittsburg
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