JACK JEFFERY DEGRACE
NPI 1255180535
Behavior Technician in Bridgeport, MI

Active since May 17, 2024
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2, BRIDGEPORT, MI 48722(989) 401-1239 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Jeffery Degrace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK JEFFERY DEGRACE (NPI 1255180535) is an individual behavior technician in Bridgeport, Michigan and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1255180535
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJACK JEFFERY DEGRACE
Location Address6296 BRIDGEPORT VILLAGE SQUARE DR STE 2Bridgeport, MI 48722-9655
Mailing Address5039 Villa Linde Pkwy Ste 30Flint, MI 48532-3450 · (989) 401-2244
Sole ProprietorYes
Enumeration DateMay 17, 2024
NPPES CertifiedMay 17, 2024
NPI 1255180535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2, Bridgeport, MI 48722

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Degrace's NPI number?

The NPI number for Jack Degrace is 1255180535. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Where is Jack Degrace located?

Jack Degrace practices at 6296 Bridgeport Village Square Dr Ste 2, Bridgeport, MI 48722. The listed phone number is (989) 401-1239.

What is Jack Degrace's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jack Degrace was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.