Tanisha R Jackson
Tanisha R Jackson is a Behavior Analyst in Oakland, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
180 Grand Ave Ste 225Oakland, CA 94612-3769
Phone: (510) 506-7910
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-21-54408 (CA) |
|---|
Record details
| NPI number | 1750865218 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 20, 2018 |
| Last updated in NPPES | February 8, 2022 |
| Certification date | November 29, 2021 |
| Mailing address | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 |
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