MEDICARE: NICHOLAS JACOBSON RBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-25-460338	TX

General Provider Information

NPI Number	:	1285597039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS JACOBSON RBT

Provider Business Mailing Address
First Line	:	PO BOX 151716
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78715-1716
Country	:	US
Telephone Number	:	512-898-9044
Fax Number	:	512-857-1423

Provider Business Practice Location Address
First Line	:	106 NORTHWEST DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-4250
Country	:	US
Telephone Number	:	512-898-9044
Fax Number	:	512-857-1423

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ NICHOLAS JACOBSON RBT” Practice Location

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