Jackson Minoru Walthall
Jackson Minoru Walthall is a Behavior Technician in Ventura, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1304 E Main StVentura, CA 93001-3202
Phone: (805) 941-3656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1831822824 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 6, 2022 |
| Last updated in NPPES | July 6, 2022 |
| Certification date | July 6, 2022 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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