What is Jake Petraszewsky's NPI number?

Jake Petraszewsky's National Provider Identifier (NPI) is 1104622836, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jake Petraszewsky's specialty?

Jake Petraszewsky is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jake Petraszewsky located?

Jake Petraszewsky's practice location on file with NPPES is 100 Spenryn Dr, Madison, AL 35758-1890.

What is Jake Petraszewsky's phone number?

The practice phone number listed in the NPPES registry for Jake Petraszewsky is (256) 772-4400.

Is Jake Petraszewsky's NPI active?

Yes — Jake Petraszewsky's NPI (1104622836) is active in the NPPES registry as of the last update on 2025-02-24.

IndividualActive

Jake Petraszewsky

NPI 1104622836 · Behavior Technician · Madison, AL

Jake Petraszewsky is a Behavior Technician provider in Madison, AL (NPI 1104622836).

Provider details

NPI number: 1104622836
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No
License: 25-411920 (AL)

Specialties & taxonomies

Behavior TechnicianPrimary106S00000XLicense 25-411920 (AL)
Behavioral Health & Social Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

100 Spenryn Dr

Madison, AL 35758-1890

Phone: (256) 772-4400

Street-level locationGet directions

More AL providers

Mailing address