JACKSON ALLEN STEPHEN

ANAHEIM, CA
NPI1972333102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171400000X Health & Wellness Coach
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2024-08-02
Last Update Date2026-08-04
Business Address
JACKSON ALLEN STEPHEN
2135 S MOUNTAIN VIEW AVE
ANAHEIM, CA 92802-4917
Phone number: 714-517-8926
Mailing Address
JACKSON ALLEN STEPHEN
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868-4633
Phone number: 657-339-2799