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

Jacob Tyler Dixon, BSWTCM

Individual provider Behavior Analyst · NPI 1508672973

Jacob Tyler Dixon, BSWTCM is a Behavior Analyst in Blackey, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2024

Practice location Address checks out

1726 Carcassonne Rd
Blackey, KY 41804-9066
Phone: (606) 335-0185
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (KY)

Record details

NPI number1508672973
Entity typeIndividual (Type 1)
GenderMale
Credentials BSWTCM
Sole proprietorYes
NPI enumeratedDecember 10, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024