Jackson Cole Black
Jackson Cole Black is a Behavior Technician in Concord, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1200 Concord Ave Ste 185Concord, CA 94520-4915
Phone: (510) 268-8120
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1003667726 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 29, 2024 |
| Last updated in NPPES | March 29, 2024 |
| Certification date | March 29, 2024 |
| Mailing address | 1200 Concord Ave Ste 185, Concord, CA 94520-4915 |
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1200 Concord Ave Ste 100, Concord, CA 94520-4969 · (510) 268-8120
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Jovy Lynn Blackwell
1200 Concord Ave Ste 185, Concord, CA 94520-5006 · (650) 648-4170