Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK HENRY JAKE LONDON, RBT
ActiveJACK HENRY JAKE LONDON, RBT is a Behavior Technician healthcare provider located in CHAMPAIGN, Illinois. NPI 1619556982 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1619556982
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2021 (5.3822280143902 yrs)
- Last Updated
- Apr 5, 2021
- License
-
20142911
Practice Information
- Address
-
4112 FIELDSTONE RDSUITE BCHAMPAIGN, IL, 618226182Browse IL providers · Browse ZIP 61822
- Phone
- 8883083728
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| BRITTNEY BLACK | — | 1306335278 |
| BREANNA INGLE | — | 1831657030 |
| RUTH ANNE MARIE OTIS | RBT | 1053950188 |
| TAAJI BOLTON | RBT | 1851970404 |
| MARY JUGUAN | RBT | 1316525942 |
| VAUGHN BRUNO | RBT | 1720667355 |
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.