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1750865218
TANISHA R JACKSON
OAKLAND, CA
NPI
1750865218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-21-54408)
Enumeration Date
2018-09-20
Last Update Date
2022-02-08
Business Address
TANISHA R JACKSON
180 GRAND AVE STE 225
OAKLAND, CA 94612-3769
Phone number: 510-506-7910
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Mailing Address
TANISHA R JACKSON
180 GRAND AVE STE 225
OAKLAND, CA 94612-3769
Phone number: 510-506-7910
Copy
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