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

Jackson G Roltgen

Individual provider Behavior Technician · NPI 1588523880

Jackson G Roltgen is a Behavior Technician in Coeur D Alene, Idaho. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1400 E Sherman Ave
Coeur D Alene, ID 83814-4044
Phone: (208) 551-2970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1588523880
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 21, 2026
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

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