Amber Jackson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

Ste, LLC
3650 Mt. Diablo Blvd., Suite 107
Lafayette, CA 94549

Phone

(510) 665-9700

NPI assigned

Nov 8, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1982172953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40473 VERNE ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383343",
            "telephone_number": "510-709-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STE, LLC",
            "address_2": "3650 MT. DIABLO BLVD., SUITE 107",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "94549",
            "telephone_number": "510-665-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ide-Don Physical Therapy PC
• Jonathan Ide-Don, P.T.
• Imaging Partners Medical Group
• Nicole Indart
• Allison Inloes, MS, OTR/L
• Gilbert Joseph Jackson, D.C.
• Stacy L Jackson, DC
• Tamiesha Jackson
• Marcia Sue Jacober, MFT
• Robert Jagger, MD

• Behavior Technician in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.