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

Jacob Samuel Nelson, BHT

Individual provider Peer Specialist · NPI 1871256842

Jacob Samuel Nelson, BHT is a Peer Specialist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2021
Specialties on file
2

Practice location Address checks out

15214 N Cave Creek Rd Ste A
Phoenix, AZ 85032-4360
Phone: (888) 973-2090
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (AZ)
Peer Specialist Taxonomy 175T00000X (AZ)

Record details

NPI number1871256842
Entity typeIndividual (Type 1)
GenderMale
Credentials BHT
Sole proprietorYes
NPI enumeratedOctober 18, 2021
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023
Mailing address5707 N 44th Ln Ste B, Glendale, AZ 85301-6307

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