JACOB AUSTIN

FORT WAYNE, IN
NPI1255094371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-21-188984)
Enumeration Date2021-10-15
Last Update Date2021-10-15
Business Address
JACOB AUSTIN RBT
4422 E STATE BLVD
FORT WAYNE, IN 46815-6917
Phone number: 260-471-9263
Mailing Address
JACOB AUSTIN RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885