JERRELLE CLEON WATERS JACKSON
NPI 1831911742
Behavior Technician in San Francisco, CA
About Jerrelle Cleon Waters Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRELLE CLEON WATERS JACKSON (NPI 1831911742) is an individual behavior technician in San Francisco, California and active in the NPI registry since October 2024.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jerrelle Waters Jackson's NPI number?
The NPI number for Jerrelle Waters Jackson is 1831911742. It was assigned to this individual provider in the NPPES registry on October 30, 2024.
Where is Jerrelle Waters Jackson located?
Jerrelle Waters Jackson practices at 23 Harbor Rd # 23, San Francisco, CA 94124. The listed phone number is (650) 770-3917.
What is Jerrelle Waters Jackson's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Jerrelle Waters Jackson was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.