Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Henry Jake London, RBT

Individual provider Behavior Technician · NPI 1619556982

Jack Henry Jake London, RBT is a Behavior Technician in Champaign, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

4112 Fieldstone Rd Ste B
Champaign, IL 61822-6182
Phone: (888) 308-3728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 20142911

Record details

NPI number1619556982
Entity typeIndividual (Type 1)
GenderMale
Credentials RBT
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESApril 5, 2021
Certification dateMarch 15, 2021

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