Individual provider · Type 1 NPI

Jack Henry Jake London, RBT

Behavior Technician · Champaign, IL

NPI number 1619556982 Active

Practice location

4112 Fieldstone Rd, Suite B
Champaign, IL 61822-6182

Call (888) 308-3728 Map

Mailing address

245 W Roosevelt Rd
West Chicago, IL 60185-3739

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000X20142911

Behavior Technician: 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…

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About NPI 1619556982

Jack Henry Jake London, RBT's National Provider Identifier is 1619556982, issued on Apr 5, 2021. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Champaign, IL. The record was last updated on Apr 5, 2021.