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1124547427
JACOB EDWARDS
RIVERBANK, CA
NPI
1124547427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2017-09-18
Last Update Date
2017-09-18
Business Address
JACOB EDWARDS BCBA
5501 ANTIQUE ROSE WAY
RIVERBANK, CA 95367-9505
Phone number: 209-521-4791
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Mailing Address
JACOB EDWARDS BCBA
3425 COFFEE RD STE C2
MODESTO, CA 95355-1582
Phone number: 209-521-4791
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