Octavia Jackson
NPI #1578297974 in Chattaroy, Washington
Provider Information
- NPI Number
- 1578297974
- Entity Type
- Individual
- Name
- Octavia Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jul 12, 2022
- Last Updated
- Jul 12, 2022
Practice Location
- Address
- 9625 E DUNN ROAD
- City
- Chattaroy
- State
- Washington
- ZIP Code
- 99003
- Phone
- (510) 910-4449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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