Individual
JACKSON J OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N HILL AVE STE 100, PASADENA, CA 91106-1949
(626) 793-7700
Mailing address
1063 MCGAW AVE, IRVINE, CA 92614-5505
(657) 549-8081
(714) 388-3727
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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