Danielle Jackson
Behavior Technician in Stockton, CA. Individual provider (NPI-1).
NPI number1710693700
StatusActive
Last updated in NPPESJan 24, 2023
Details
- NPI
- 1710693700
- Entity type
- Individual (NPI-1)
- Name
- Danielle Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2023
- Certification date
- Jan 24, 2023
- Last updated
- Jan 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2453 Grand Canal Blvd Ste AStockton, CA 95207-8138
Phone 855-223-7123 · Fax 619-374-7134
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 855-223-7123 · Fax 619-374-7134
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All 3,125 Behavior Technician providers in Stockton · All 11,041 providers in Stockton
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