Benjamin Ryan Jack, BCBA

Behavior Analyst · North Kingstown, RI

Individual Active NPI

NPI number 1093223703

Practice location

1130 Ten Rod Rd Ste 201
North Kingstown, RI 02852-4161
Phone
(401) 294-3990

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NPI record

NPI
1093223703
Entity type
Individual (Type 1)
Enumeration date
January 16, 2018
Last updated
January 16, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-17-28975 RI

Mailing address

1130 Ten Rod Rd Ste C201
Building C Suite 201
North Kingstown, RI 02852-4171
Phone
(401) 294-3990

About Benjamin Jack

Benjamin Ryan Jack, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1130 Ten Rod Rd Ste 201, North Kingstown, RI 02852-4161. The NPI number 1093223703 was assigned on January 16, 2018 and the record was last updated on January 16, 2018.

Benjamin Jack lists a license in the registry: #1-17-28975 (RI) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Ryan Jack, BCBA?

The NPI number is 1093223703.

What is the phone number of Benjamin Jack?

The phone number listed for the practice location is (401) 294-3990.

Where is Benjamin Jack located?

1130 Ten Rod Rd Ste 201, North Kingstown, RI 02852-4161.

What is the taxonomy code for Benjamin Jack?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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