Jackson, Latoya Monique

Jackson, Latoya Monique is an individual health care provider with primary practice located at 17845 Ironwood Lane , Victorville CA 92395-5166. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Jackson, Latoya Monique can be contacted via phone (760) 373-6251.

Contact Information

Primary practice address
17845 Ironwood Lane Victorville CA 92395-5166
Phone: (760) 373-6251
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1528607827
LBN Legal business name Jackson, Latoya Monique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2020
Last updated Jan 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528607827 NPPES
California Other B8648770 CA DMV

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