Jack Alexander Hawk Wright, is a
Behavior Technician based in Concord, California. Jack Alexander Hawk Wright is licensed to practice in California (license number RBT-22-221197) and his current practice location is
1200 Concord Ave Ste 100, Concord, California. He can be reached at his office (for appointments etc.) via phone at
(877) 200-5886.
NPI number for Jack Alexander Hawk Wright is 1316519978 and his current mailing address is 182 Raspberry Ln, Freestone, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316519978.
Healthcare Provider's Profile
| Full Name | Jack Alexander Hawk Wright |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 1200 Concord Ave Ste 100, Concord, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316519978
- Provider Enumeration Date: 07/13/2021
- Last Update Date: 10/25/2022
Medical Identifiers
Medical identifiers for Jack Alexander Hawk Wright such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316519978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | RBT-22-221197 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Alexander Hawk Wright is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jack Alexander Hawk Wright,
182 Raspberry Ln,
Freestone, CA 95472-8801
Ph: (707) 331-5222 | Jack Alexander Hawk Wright,
1200 Concord Ave Ste 100,
Concord, CA 94520-4969
Ph: (877) 200-5886 |
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