MS. Candace Jackson, NONE
MS. Candace Jackson, NONE is a Behavior Technician in Gardena, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1149 W 190th St Ste 2200Gardena, CA 90248-4344
Phone: (310) 856-0800
Fax: (855) 568-2494
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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 | 1841944642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NONE |
| Sole proprietor | No |
| NPI enumerated | February 9, 2022 |
| Last updated in NPPES | February 9, 2022 |
| Certification date | February 9, 2022 |
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