IndividualActive
Jacob Swallen
NPI 1104624675 · Behavior Technician · White Bear Lake, MN
Jacob Swallen is a Behavior Technician provider in White Bear Lake, MN (NPI 1104624675).
Provider details
- NPI number
- 1104624675
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
1011 Meadowlands Dr
White Bear Lake, MN 55127-2339
Phone: (612) 445-0300
Street-level locationGet directions
Mailing address
574 Vicki Ln
Shoreview, MN 55126-4775
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.