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

Mr. Patrick T Dewalt Jr.

Individual provider Behavior Technician · NPI 1407410525

Mr. Patrick T Dewalt Jr. is a Behavior Technician in Jackson, Michigan. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1001 Laurence Ave
Jackson, MI 49202-2979
Phone: (517) 740-4777
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 number1407410525
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2019
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024

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