IndividualActive
Benjamin Jack, BCBA
NPI 1093223703 · Behavior Analyst · North Kingstown, RI
Provider details
- NPI number
- 1093223703
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
- License
- 1-17-28975 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1130 Ten Rod Rd Ste 201
North Kingstown, RI 02852-4161
Phone: (401) 294-3990
Approximate (ZIP-level) locationGet directions
Mailing address
1130 Ten Rod Rd Ste C201
North Kingstown, RI 02852-4171
Registry dates
- Enumerated
- 2018-01-16
- Last updated
- 2018-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.