Jake William Ryan Petraszewsky

NPI #1104622836 in Madison, Alabama

Provider Information

NPI Number
1104622836
Entity Type
Individual
Name
Jake William Ryan Petraszewsky
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Feb 24, 2025
Last Updated
Feb 24, 2025

Practice Location

Address
100 SPENRYN DR
State
Alabama
ZIP Code
35758-1890
Phone
(256) 772-4400

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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