Ivy Patrice Jackson
Ivy Patrice Jackson is a Behavior Technician in Gardena, California. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
879 W 190th St Ste 1000Gardena, CA 90248-4255
Phone: (310) 329-9115
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1679401921 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 8, 2026 |
| Last updated in NPPES | May 8, 2026 |
| Certification date | May 8, 2026 |
| Mailing address | 14822 Chadron Ave Apt 14, Gardena, CA 90249-3519 |
Other providers in Gardena
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Nia Ivory
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Connie Jacobe
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