Individual provider · Type 1 NPI

Lisa Jack

Behavior Technician · Minersville, PA

NPI number 1922645035 Active

Practice location

2880 Pottsville Minersville Hwy # 135
Minersville, PA 17954-2027

Call (610) 831-1865 Map

Fax (615) 577-5654

Mailing address

1321 Murfreesboro Pike Ste 702
Nashville, TN 37217-2679

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

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 1922645035

Lisa Jack's National Provider Identifier is 1922645035, issued on Dec 9, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Minersville, PA. The record was last updated on Dec 9, 2019.