Individual
CLARISSA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1025 ATLANTIC AVE STE 101, ALAMEDA, CA 94501-1188
(510) 268-8120
Mailing address
1025 ATLANTIC AVE STE 101, ALAMEDA, CA 94501-1188
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57494
CA
Other
Enumeration date
02/26/2018
Last updated
01/19/2022
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