Jackson, Mateo

Jackson, Mateo is an individual health care provider with primary practice located at 428 S 11Th St Apt 5 , San Jose CA 95112-2224. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Jackson, Mateo can be contacted via phone (510) 909-3843.

Contact Information

Primary practice address
428 S 11Th St Apt 5 San Jose CA 95112-2224
Phone: (510) 909-3843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1346008521
LBN Legal business name Jackson, Mateo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2024
Last updated Mar 12th, 2024 - about 2 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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