Jackson Scott Mallery
Jackson Scott Mallery is a Behavior Technician in Rocklin, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3101 Sunset Blvd Ste 1ARocklin, CA 95677-3097
Phone: (916) 773-0211
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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 | 1295585933 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 25, 2024 |
| Last updated in NPPES | March 25, 2024 |
| Certification date | March 25, 2024 |
| Mailing address | 8410 Candycane Ln, Roseville, CA 95747-5952 |
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