Search › California › 103K00000X
Staci Jackson, BCBA
NPI 1487956249 · on the registry since 2010
Practice
- Address
- 7226 Sepulveda Blvd
Van Nuys, CA 91405 - Phone
- (818) 235-1414
- Fax
- (818) 235-1418
- Clinicians at this address
- 203
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California