Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB DYLAN EVANS
ActiveJACOB DYLAN EVANS is a Behavior Technician healthcare provider located in PRUDENVILLE, Michigan. NPI 1083367551 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · PRUDENVILLE, MI
Registration Details
- NPI Number
- 1083367551
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2022 (4.5304735763951 yrs)
- Last Updated
- Feb 3, 2022
Practice Information
- Address
-
1070 W HOUGHTON LAKE DRPRUDENVILLE, MI, 486519613Browse MI providers · Browse ZIP 48651
- Phone
- 9892723002
- Fax
- 1231368638
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in PRUDENVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| KATELYNNE MARIE BAUGHMAN | — | 1578015368 |
| MISS ASHLEE B COHEE | — | 1427567114 |
| JENNIFER ROSE SMITH | — | 1629587936 |
| AMANDA M SMITH | — | 1760997720 |
| MRS. KATHLEEN ANN NUTT | — | 1124528096 |
| CARA NICOLE UBER | — | 1922505858 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.