Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIS JACKSON
ActiveWILLIS JACKSON is a Behavior Technician healthcare provider located in SAN BRUNO, California. NPI 1386242709 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · SAN BRUNO, CA
Registration Details
- NPI Number
- 1386242709
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2020 (5.8584297584937 yrs)
- Last Updated
- Oct 16, 2020
Practice Information
- Address
-
901 SNEATH LN STE 105SAN BRUNO, CA, 940662415Browse CA providers · Browse ZIP 94066
- Phone
- 6505159882
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in SAN BRUNO, CA
| Name | Credential | NPI |
|---|---|---|
| MISS TIFFANY NICOLE BARBER | — | 1922250562 |
| JACQUELINE CEJA | — | 1124798004 |
| KEVIN ANDRESEN | — | 1447684147 |
| PATRICK KERWIN | — | 1669855730 |
| ARMANDO FRANCISCO LUNA-MEDINA | B.A. | 1447788443 |
| CESAR GOMEZ MARES | — | 1346754389 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.