KELLY JACOBSON – Behavior Technician, NPI 1568968329

KELLY JACOBSON is a healthcare provider. based in Milwaukie, Oregon. specializing in Behavior Technician. They hold a License No. THW000002598 (OR). The NPI Number for KELLY JACOBSON is 1568968329

Main info

Female
Sole Proprietor
Name
KELLY JACOBSON
NPI
1568968329
Phone
(503) 449-6853
Address
3236 SE HARVEY ST APT 6
Enumeration Date
2 April 2018
Last Update Date
12 December 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for KELLY JACOBSON

  • 3236 SE HARVEY ST APT 6

    MILWAUKIE, OR 972226590

    Phone: (503) 449-6853

    Type: Mailing

  • 2701 NW Vaughn St Ste 360

    Portland, OR 972105376

    Phone: (503) 968-3487

    Fax: (503) 227-0676

    Type: Location

  • 41521, West 11 Mile Road, Novi, Oakland County, Michigan, 48375, United States

    NOVI, MI 483751803

    Phone: (248) 299-0030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97222)

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Reviews

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Frequently asked questions

What is the registry number for KELLY JACOBSON?
The registry entry for KELLY JACOBSON shows NPI 1568968329.
Should I treat KELLY JACOBSON as an active provider?
Patients and plans typically see KELLY JACOBSON as active in the national extract.
Which specialty label fits KELLY JACOBSON?
NPPES ties KELLY JACOBSON to Behavior Technician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KELLY JACOBSON?
The directory associates KELLY JACOBSON with Milwaukie, Oregon. Check all listed addresses for suites or satellite offices.
Why is information missing for KELLY JACOBSON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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