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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAN JACK, MS

Active Sole Proprietor

DAN JACK, MS is a Behavior Analyst healthcare provider located in YUKON, Oklahoma. NPI 1780011502 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · YUKON, OK

Registration Details

NPI Number
1780011502
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2013 (12.803628344691 yrs)
Last Updated
Oct 11, 2013
Sole Proprietor
Yes

Practice Information

Address
11600 SW 4TH ST
YUKON, OK, 730996706
Browse OK providers · Browse ZIP 73099
Phone
4052294348
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in YUKON, OK

Name Credential NPI
SARAH TERICE JOHNSON 1760702492
SHAUNA MICHELLE LUNDY 1205119310
MR. JUSTIN GARRET PRICE 1992089668
MRS. KIMBERLY ERIN ROBICHAUX BCBA 1174869440
KIMBERLY HERMOSURA 1225460629
REISHA DESPAIN M.S., M.ED., BCBA 1417378043
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.