JACK HENRY JAKE LONDON RBT
NPI 1619556982
Behavior Technician in Champaign, IL
About Jack Henry Jake London Rbt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK HENRY JAKE LONDON RBT (NPI 1619556982) is an individual behavior technician in Champaign, Illinois, licensed in (20142911) and active in the NPI registry since April 2021.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHAMPAIGN, IL 61822
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 Henry London's NPI number?
The NPI number for Jack Henry London is 1619556982. It was assigned to this individual provider in the NPPES registry on April 5, 2021.
Where is Jack Henry London located?
Jack Henry London practices at 4112 Fieldstone Rd Suite B, Champaign, IL 61822. The listed phone number is (888) 308-3728.
What is Jack Henry London'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 Henry London was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.