IndividualActive
Robert Jackson
NPI 1235650045 · Behavior Technician · Grants Pass, OR
Provider details
- NPI number
- 1235650045
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
711 Sw Ramsey Ave
Grants Pass, OR 97527-5500
Phone: (541) 479-5901
Approximate (ZIP-level) locationGet directions
Mailing address
715 Sw Ramsey Ave
Grants Pass, OR 97527-5500
Registry dates
- Enumerated
- 2017-06-30
- Last updated
- 2017-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.