Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB AUTRY WILSON, RBT
Active Sole ProprietorJACOB AUTRY WILSON, RBT is a Behavior Technician healthcare provider located in EUSTIS, Florida. NPI 1154187995 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · EUSTIS, FL
Registration Details
- NPI Number
- 1154187995
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2024 (2.4850122760917 yrs)
- Last Updated
- May 8, 2024
- License
-
BACB1068402 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
437 W ARDICE AVESUITE 481EUSTIS, FL, 327263408Browse FL providers · Browse ZIP 32726
- Phone
- 4075305063
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in EUSTIS, FL
| Name | Credential | NPI |
|---|---|---|
| DOROTHA ZIMMERMAN | — | 1497203236 |
| DONALD SOLOMON | — | 1598207672 |
| GREGORY JOHNSON | — | 1497295349 |
| EMILY VINEYARD | — | 1124549027 |
| BREE ELIZABETH BANKS | RBT | 1174049621 |
| DAVID ROBERT GAETZ | — | 1982113189 |
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.