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1134516982
JACOB BUSH
OAKLAND, CA
NPI
1134516982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-13-14767)
Enumeration Date
2015-04-20
Last Update Date
2015-04-20
Business Address
-- JACOB BUSH BCBA
1942 EMBARCADERO
OAKLAND, CA 94606-5213
Phone number: 510-832-4383
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Mailing Address
-- JACOB BUSH BCBA
1942 EMBARCADERO
OAKLAND, CA 94606-5213
Phone number: 510-832-4383
Copy
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