NPI 1033829817

Jack Walker

Practitioner Behavior Technician Medford, OR

Practice location

Address: 609 W 10th St, Medford, OR 97501-3106
Phone: (541) 774-4810

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Oregon →

Registry record

NPI: 1033829817
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2022
Record last updated: 1 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.