Jackson Robert Powers
Jackson Robert Powers is a Behavior Analyst in Costa Mesa, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3186 Airway Ave Ste ACosta Mesa, CA 92626-4650
Phone: (914) 486-6771
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1538977780 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 19, 2024 |
| Last updated in NPPES | December 19, 2024 |
| Certification date | December 19, 2024 |
| Mailing address | 5480 Goldenrod Dr, Livermore, CA 94551-0900 |
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