Active NPIIndividual provider

Jake Carroll

Behavior Technician in Acton, Massachusetts

NPI Number1639823438
Practice location
12 Durkee Road, Acton, MA 01720
Fax
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Last updated
February 10, 2022

Jake Carroll is a Behavior Technician based in Acton, MA. Jake Carroll practices in Acton, MA. The NPI Number for Jake Carroll is 1639823438. The current practice location address for Jake Carroll is 12 Durkee Road, Acton, MA 01720 and can be reached out via phone at 978-844-7068.

Provider Profile Details

NPI Number
1639823438
Provider Name
Jake Carroll
Provider Entity Type
Individual
Gender
Male
Address
12 Durkee Road, Acton, MA 01720
Phone Number
978-844-7068
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
February 10, 2022
Last Update Date
February 10, 2022
Certification Date
February 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Durkee Road
Acton, MA 01720
City
Acton
Zip
01720
Phone Number
978-844-7068
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
12 Durkee RD
Acton, MA 01720-2817
City
Acton
State
MA
Zip
01720-2817

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jake Carroll?

The NPI number of Jake Carroll is 1639823438. It was assigned on February 10, 2022 and is currently active in the NPPES registry.

What is the specialty of Jake Carroll?

Jake Carroll is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Jake Carroll practice?

The practice location is 12 Durkee Road, Acton, MA 01720. The office can be reached at 978-844-7068 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639823438 directly on the NPPES registry website.

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