Active NPIIndividual provider

Jackson R Ade

Behavior Technician in Hayward, California

NPI Number1760200752
Practice location
20900 Corsair Blvd, Hayward, CA 94545-1002
Fax
619-374-7134
Last updated
September 30, 2024

Jackson R Ade is a Behavior Technician based in Hayward, CA. The NPI number for Jackson R Ade is 1760200752. The current practice location address is 20900 Corsair Blvd, Hayward, CA 94545-1002 and the office can be reached by phone at 855-223-7123 and by fax at 619-374-7134. The NPI was assigned on September 30, 2024 and the record was last updated in NPPES on September 30, 2024.

●Provider Profile Details

NPI Number
1760200752
Provider Name
Jackson Robert Carlson Ade
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Enumeration Date
September 30, 2024
Last Update Date
September 30, 2024
Certification Date
September 30, 2024
NPI Status
Active

◉Business Practice Location Address

Address
20900 Corsair Blvd
Hayward, CA 94545-1002
ZIP
94545-1002
Country
US
Phone Number
855-223-7123
Fax Number
619-374-7134

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✉Business Mailing Address

Address
Po Box 33568
San Diego, CA 92163-3568
City
San Diego
State
CA
ZIP
92163-3568
Phone Number
855-223-7123
Fax Number
619-374-7134

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Behavior Technician106S00000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Jackson R Ade?

The NPI number of Jackson R Ade is 1760200752. It was assigned on September 30, 2024 and is currently active in the NPPES registry.

What is the specialty of Jackson R Ade?

Jackson R Ade is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Jackson R Ade practice?

The practice location is 20900 Corsair Blvd, Hayward, CA 94545-1002. The office can be reached at 855-223-7123 (phone) or 619-374-7134 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760200752 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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