Individual
COURTNEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 N 4TH ST, SAN JOSE, CA 95112-4713
(408) 379-3790
Mailing address
1302 N 4TH ST, SAN JOSE, CA 95112-4713
(408) 379-3790
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-29055
CA
Other
Enumeration date
10/25/2017
Last updated
04/24/2024
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