Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE LOGAN FORMANEK, RBT
ActiveJESSE LOGAN FORMANEK, RBT is a Behavior Technician healthcare provider located in SAINT CLOUD, Minnesota. NPI 1306476502 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · SAINT CLOUD, MN
Registration Details
- NPI Number
- 1306476502
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2020 (6.5339433959954 yrs)
- Last Updated
- Jan 16, 2020
- License
-
RBT-20-110353 (MN)
Practice Information
- Address
-
3721 23RD ST S APT 201SAINT CLOUD, MN, 563016199Browse MN providers · Browse ZIP 56301
- Phone
- 2184572185
- Fax
- 6052713956
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in SAINT CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| AVERY HARRISON | — | 1710459748 |
| SUSAN STANG | — | 1508339565 |
| OLIVIA BEAUTO | — | 1255804282 |
| HANNAH PLANINSHECK | — | 1437622487 |
| BELINDA LABOR | — | 1386117323 |
| MACKENZIE TADYCH | — | 1306319363 |
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.