NPI | 1528898160 |
---|---|
Other Name | CHRISTOPHER JACOBS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2024-08-07 |
Last Update Date | 2024-08-07 |