NPI 1396375135
Jesse Randolph Roberts
Practice location
- Address
- 16 W Long St, Columbus, OH 43215-2815
- Phone
- (740) 695-9344
- Mailing address
- 5000 Smoketalk Ln, Westerville, OH 43081-4442
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1396375135
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Jan 2020
- Record last updated
- 21 Jan 2020
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.