Amber Jackson

NPI #1982172953 in Lafayette, California

Provider Information

NPI Number: 1982172953
Entity Type: Individual
Name: Amber Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 8, 2018
Last Updated: Nov 8, 2018

Practice Location

Address: STE, 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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