Octavia Jackson
Behavior Technician · Chattaroy, WA
NPI number
1578297974
Practice location
9625 E Dunn RoadChattaroy, WA 99003
- Phone
- (510) 910-4449
NPI record
- NPI
- 1578297974
- Entity type
- Individual (Type 1)
- Enumeration date
- July 12, 2022
- Last updated
- July 12, 2022
- Certified
- June 23, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
Mailing address
904 W Riverside Ave Unit 1137Spokane, WA 99210-0330
- Phone
- (510) 910-4449
About Octavia Jackson
Octavia Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 9625 E Dunn Road, Chattaroy, WA 99003. The NPI number 1578297974 was assigned on July 12, 2022 and the record was last updated on July 12, 2022.
Frequently asked questions
What is the NPI number of Octavia Jackson?
The NPI number is 1578297974.
What is the phone number of Octavia Jackson?
The phone number listed for the practice location is (510) 910-4449.
Where is Octavia Jackson located?
9625 E Dunn Road, Chattaroy, WA 99003.
What is the taxonomy code for Octavia Jackson?
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.
Other Behavior Technician providers in Chattaroy
- Miriam Turney36502 N River Estates Ln