Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNATHON MICHAEL JACOBSEN
ActiveJOHNATHON MICHAEL JACOBSEN is a Behavior Technician healthcare provider located in GRESHAM, Oregon. NPI 1699363143 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · GRESHAM, OR
Registration Details
- NPI Number
- 1699363143
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2021 (5.5805423670175 yrs)
- Last Updated
- Jan 8, 2021
- License
-
10212054 (OR)
Practice Information
- Address
-
912 NE KELLY AVE # 100CGRESHAM, OR, 970305629Browse OR providers · Browse ZIP 97030
- Phone
- 5039125502
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. EVAYN TAYLOR HALL | — | 1306353958 |
| SPENCER GRACEYN JONES | — | 1043711989 |
| DELIA YULISA RUIZ | — | 1609370501 |
| MEGAN MERCEDES COOPER | — | 1154812139 |
| CHELSEA ASHLEY DRYER | — | 1366937609 |
| DANIEL PAUL VAGO | — | 1871070367 |
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.