IndividualActive
Scott Jackson
NPI 1649123043 · Behavior Technician · Kake, AK
Provider details
- NPI number
- 1649123043
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 6763042 (AK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
488 Raven Drive
Kake, AK 99830
Phone: (907) 785-3333
Approximate (ZIP-level) locationGet directions
Mailing address
488 Raven Drive
Kake, AK 99830
Registry dates
- Enumerated
- 2026-02-17
- Last updated
- 2026-02-17
- Certified
- 2026-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.