Tamiesha Jackson

NPI #1912551227 in Lafayette, California

Provider Information

NPI Number: 1912551227
Entity Type: Individual
Name: Tamiesha Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 25, 2019
Last Updated: Jul 25, 2019

Practice Location

Address: STE CONSULTANT, LLC
Address 2: 3650 MT. DIABLO BLVD, SUITE 107
City: Lafayette
State: California
ZIP Code: 94549
Phone: (510) 665-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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