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

PATRICK JACKSON, RBT

Active Sole Proprietor

Behavior Technician · ROCK SPRINGS, WY

Registration Details

NPI Number
1962968560
Provider Type
Individual
Gender
Male
NPI Issued
Feb 19, 2019 (7.1802631959293 yrs)
Last Updated
Feb 19, 2019
License
RBT-19-78853. (WY)
Sole Proprietor
Yes

Practice Information

Address
918 EISENHOWER DR
ROCK SPRINGS, WY, 829014449
Browse WY providers · Browse ZIP 82901
Phone
3073991793
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in ROCK SPRINGS, WY

Name Credential NPI
CHRISTINA GIPSON BA COMMUNICATIONS 1265972673
PATTY SCHOENEWALD 1053978635
GEANNIE BERG 1780243477
KAILA KROTZER RBT 1558903625
KYRSTIN KING 1992343941
ASHTEN ZUEHLSDORFF 1154945400
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.