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

Jason Lance McCollum

Individual provider Behavior Technician · NPI 1619686292

Jason Lance McCollum is a Behavior Technician in Poplar Bluff, Missouri. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2995 Warrior Ln
Poplar Bluff, MO 63901-8600
Phone: (573) 712-2902
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 number1619686292
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 22, 2022
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022
Mailing address2995 Warrior Ln, Poplar Bluff, MO 63901-8600

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