Jason Mizak, RBT

NPI 1245017771 · on the registry since 2023 · sole proprietor

Practice

Address: 3715 Ne Highway 20
Corvallis, OR 97330
Phone: (303) 880-3745
Fax: (813) 441-8362
Organisation at this address: Pacific Pathways Aba, Inc.
Sr Plus Behavior Consultants Of Pacific Northwest
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon