Patrick Jackson, RBT Valid NPI

Individual provider · Behavior Technician · Rock Springs, WY

NPI

1962968560

Type

Individual (Type 1)

Primary specialty

Behavior Technician

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

106S00000X

License number

RBT-19-78853. (WY)

Sex

Male

Sole proprietor

Yes

Enumerated

2019-02-19

Last updated

2019-02-19