Individual
MELISSA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACAS
Contact information
Practice address
631 RIVER OAKS PKWY, SAN JOSE, CA 95134-1907
(408) 914-7478
Mailing address
310 CRESCENT VILLAGE CIR UNIT 1307, SAN JOSE, CA 95134-3036
(408) 914-7478
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
05/18/2018
Last updated
01/19/2026
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