CARSON JACKSON
Behavior Technician
Active
Individual
NPI: 1104424241
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | - |
Frequently Asked Questions
NPI 1104424241 is the National Provider Identifier for CARSON JACKSON, a Behavior Technician provider located in Elk Grove, CA. This NPI was enumerated on October 12, 2020.
CARSON JACKSON practices at 9370 W STOCKTON BLVD STE 100, Elk Grove, CA 95758.
Quick Facts
- NPI
- 1104424241
- Type
- Individual
- Enumerated
- Oct 12, 2020
- Last Updated
- Oct 12, 2020
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