Shaunice Jackson
Behavior Technician in El Segundo, CA. Individual provider (NPI-1).
NPI number1629959366
StatusActive
Last updated in NPPESSep 9, 2025
Details
- NPI
- 1629959366
- Entity type
- Individual (NPI-1)
- Name
- Shaunice Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2025
- Certification date
- Sep 9, 2025
- Last updated
- Sep 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
100 N Pacific Coast HwyEl Segundo, CA 90245-4359
Phone 310-856-0800
Mailing address
100 N Pacific Coast HwyEl Segundo, CA 90245-4359
Phone 310-856-0800
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All 5,443 Behavior Technician providers in El Segundo · All 6,342 providers in El Segundo
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