Most Relevant Information
Provider Data
NPI Number: | 1003394727 |
Provider Name: | JAZZMYN SIERRA SEAY-JACKSON |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: | F7717262 |
Most Important Dates
Enumeration Date: | 08/03/2018 |
Last Updated: | 06/21/2019 |
Provider Practice Location
1149 A ST
HAYWARD
CA
945414113
Practice Location Phone/Fax
Phone: | 5109012050 |
Fax: |
Provider Mailing Location
1149 A ST
HAYWARD
CA
945414113
Provider Mailing Phone/Fax
Phone: | 5109012050 |
Fax: |