Johnathon Michael Jacobsen
Johnathon Michael Jacobsen is a Behavior Technician in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2021.
- Licensed in
- OR
- In the registry since
- 2021
Practice location Address checks out
912 NE Kelly Ave # 100CGresham, OR 97030-5629
Phone: (503) 912-5502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 10212054 (OR) |
|---|
Record details
| NPI number | 1699363143 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 8, 2021 |
| Last updated in NPPES | January 8, 2021 |
| Certification date | January 7, 2021 |
| Mailing address | 4920 Ne Glisan St Apt 215, Portland, OR 97213-2964 |
Other providers in Gresham
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Taylor Horowitz
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Maya Hull
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Madison Adele Hutton
912 NE Kelly Ave Ste 100C, Gresham, OR 97030-5629 · (503) 912-5505
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Kasie Renee Hyatt
2700 W Powell Blvd Apt 3127, Gresham, OR 97030-6579 · (971) 500-5995
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Sydni Denise Jain-Redmond
912 NE Kelly Ave # 100C, Gresham, OR 97030-5629 · (503) 912-5501
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Rebecka Keiko James
912 NE Kelly Ave # 100C, Gresham, OR 97030-5629 · (503) 912-5502
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Spencer Graceyn Jones
912 NE Kelly Ave, Gresham, OR 97030-5629 · (503) 912-5506
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Toni Kershaw
1851 NW Civic Dr, Gresham, OR 97030-5566 · (971) 266-3815