Jackson, Marianne Louise

Jackson, Marianne Louise is an individual health care provider with primary practice located at 4910 N Chestnut Ave , Fresno CA 93726-1852. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Jackson, Marianne Louise can be contacted via phone (559) 278-2757.

Contact Information

Primary practice address
4910 N Chestnut Ave Fresno CA 93726-1852
Phone: (559) 278-2757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1-07-3824 California

Profile Details

NPI number 1841623790
LBN Legal business name Jackson, Marianne Louise
Credentials BCBA-D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2013
Last updated Aug 14th, 2013 - about 12 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 1841623790 NPPES
California Other 1-07-3824 BCBA-D

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