IndividualActive
Jake Clancy
NPI 1356920136 · Behavior Technician · Burleson, TX
Provider details
- NPI number
- 1356920136
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-19-100886 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
12333 Bear Plz Ste 200
Burleson, TX 76028-0215
Phone: (682) 900-1444
Fax: (432) 322-4597
Approximate (ZIP-level) locationGet directions
Mailing address
12333 Bear Plz Ste 200
Burleson, TX 76028-0215
Registry dates
- Enumerated
- 2021-04-07
- Last updated
- 2023-08-03
- Certified
- 2023-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.