IndividualActive
Jackson Loop
NPI 1912772146 · Assistant Behavior Analyst · Evanston, IL
Provider details
- NPI number
- 1912772146
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1215 Cleveland St
Evanston, IL 60202-2116
Phone: (847) 257-5640
Approximate (ZIP-level) locationGet directions
Mailing address
1215 Cleveland St
Evanston, IL 60202-2116
Registry dates
- Enumerated
- 2023-11-17
- Last updated
- 2025-09-11
- Certified
- 2023-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.