Jacob Luke Allison
Individual provider Active NPI Behavior Technician · Gresham, OR
NPI 1720807233 · NPPES record last updated Oct 10, 2024
Key facts
- NPI
- 1720807233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1851 NW Civic Dr
Gresham, OR 97030-5566 - Phone
- (971) 292-1050
- NPI assigned
- Oct 10, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1851 NW Civic Dr
Gresham, OR 97030-5566
Mailing address
7500 San Felipe St Ste 990
Houston, TX 77063-1708
Other providers in Gresham, OR
- Eric Lee Allen
- Kathryn E Allen
- Ryan Allen
- Sara Christine Allender
- Carissa Alleva
- Corbin Michael Allred
- Karen Yessenia Alonso-Granados
- Alta Ulrich, LMT LLC
- Alternative Sleep Health, Inc
- Doug R Altilio
All providers in Gresham, OR · Behavior Technician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.