Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON MINORU WALTHALL
ActiveJACKSON MINORU WALTHALL is a Behavior Technician healthcare provider located in VENTURA, California. NPI 1831822824 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · VENTURA, CA
Registration Details
- NPI Number
- 1831822824
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2022 (4.1179404675031 yrs)
- Last Updated
- Jul 6, 2022
Practice Information
- Address
-
1304 E MAIN STVENTURA, CA, 930013202Browse CA providers · Browse ZIP 93001
- Phone
- 8059413656
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in VENTURA, CA
| Name | Credential | NPI |
|---|---|---|
| CLARA JANE GREGORY | — | 1982453015 |
| DANIELLE FILLNER | BA | 1952849986 |
| SARAH STEVENS | — | 1730608902 |
| ILENA SERVIN | BA | 1003326026 |
| KRISTINE HALOG | — | 1568978591 |
| LEVI GROSS | — | 1922514942 |
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.