Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERAD LEISCH
ActiveBehavior Technician · ROCK SPRINGS, WY
Registration Details
- NPI Number
- 1710574801
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2020 (5.3391774462019 yrs)
- Last Updated
- Dec 23, 2020
- License
-
RBT-20-149038 (WY)
Practice Information
- Address
-
2632 FOOTHILL BLVDROCK SPRINGS, WY, 829014756Browse WY providers · Browse ZIP 82901
- Phone
- 3072123284
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in ROCK SPRINGS, WY
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA GIPSON | BA COMMUNICATIONS | 1265972673 |
| PATRICK JACKSON | RBT | 1962968560 |
| PATTY SCHOENEWALD | — | 1053978635 |
| GEANNIE BERG | — | 1780243477 |
| KAILA KROTZER | RBT | 1558903625 |
| KYRSTIN KING | — | 1992343941 |
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.