Amber Jackson
Behavior Technician in Lafayette, CA. Individual provider (NPI-1).
NPI number1982172953
StatusActive
Last updated in NPPESNov 8, 2018
Details
- NPI
- 1982172953
- Entity type
- Individual (NPI-1)
- Name
- Amber Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2018
- Last updated
- Nov 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
Ste, LLC3650 Mt. Diablo Blvd., Suite 107
Lafayette, CA 94549
Phone 510-665-9700
Mailing address
40473 Verne StFremont, CA 94538-3343
Phone 510-709-9039
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All 185 Behavior Technician providers in Lafayette · All 860 providers in Lafayette
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