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

Jake William Ryan Petraszewsky

Individual provider Behavior Technician · NPI 1104622836

Jake William Ryan Petraszewsky is a Behavior Technician in Madison, Alabama. Licensed in Alabama. Registered with an NPI since 2025.

Licensed in
AL
In the registry since
2025

Practice location Address checks out

100 Spenryn Dr
Madison, AL 35758-1890
Phone: (256) 772-4400
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 25-411920 (AL)

Record details

NPI number1104622836
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2025
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 23, 2025

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