| 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 |