Jackson Lee Clark

Behavior Technician · Chico, CA

Individual Active NPI

NPI number 1427863521

Practice location

635 W 2ND Ave Apt 8
Chico, CA 95926-8027
Phone
(415) 521-8018

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NPI record

NPI
1427863521
Entity type
Individual (Type 1)
Enumeration date
February 7, 2025
Last updated
February 7, 2025
Certified
February 7, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

990 Klamath Ln Ste 9
Yuba City, CA 95993-8978
Phone
(916) 729-3098

About Jackson Clark

Jackson Lee Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 635 W 2ND Ave Apt 8, Chico, CA 95926-8027. The NPI number 1427863521 was assigned on February 7, 2025 and the record was last updated on February 7, 2025.

Frequently asked questions

What is the NPI number of Jackson Lee Clark?

The NPI number is 1427863521.

What is the phone number of Jackson Clark?

The phone number listed for the practice location is (415) 521-8018.

Where is Jackson Clark located?

635 W 2ND Ave Apt 8, Chico, CA 95926-8027.

What is the taxonomy code for Jackson Clark?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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