NPI 1093223703

Benjamin Ryan Jack, BCBA

Practitioner Behavior Analyst North Kingstown, RI

Practice location

Address: 1130 Ten Rod Rd STE 201, North Kingstown, RI 02852-4161
Phone: (401) 294-3990
Mailing address: 1130 Ten Rod Rd STE C201 Building C Suite 201, North Kingstown, RI 02852-4171

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-17-28975 (RI)

Other Behavior Analyst providers in Rhode Island →

Registry record

NPI: 1093223703
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2018
Record last updated: 16 Jan 2018

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.