Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB TYLER DIXON, BSW TCM
Active Sole ProprietorJACOB TYLER DIXON, BSW TCM is a Behavior Analyst healthcare provider located in BLACKEY, Kentucky. NPI 1508672973 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · BLACKEY, KY
Registration Details
- NPI Number
- 1508672973
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 10, 2024 (1.6873819083267 yrs)
- Last Updated
- Dec 10, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1726 CARCASSONNE RDBLACKEY, KY, 418049066Browse KY providers · Browse ZIP 41804
- Phone
- 6063350185
- Primary Specialty
-
Behavior Analyst
103K00000X
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.