JACKSON ROLTGEN

Behavior Technician

Active Individual
NPI: 1588523880

Practice Address

1400 E SHERMAN AVE
Coeur D Alene, ID 83814

Phone: (208) 551-2970

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1588523880 is the National Provider Identifier for JACKSON ROLTGEN, a Behavior Technician provider located in Coeur D Alene, ID. This NPI was enumerated on January 21, 2026.
JACKSON ROLTGEN practices at 1400 E SHERMAN AVE, Coeur D Alene, ID 83814.

Quick Facts

NPI
1588523880
Type
Individual
Enumerated
Jan 21, 2026
Last Updated
Jan 21, 2026

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