Individual
ALEXANDRIA JANIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
865 MARINA BAY PKWY STE 37, RICHMOND, CA 94804-6426
(510) 422-6311
Mailing address
865 MARINA BAY PKWY STE 37, RICHMOND, CA 94804-6426
(510) 422-6311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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