JACOB MICELI

RIVERBANK, CA
NPI1619447323
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: CA  1-23-64992)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-11-26
Last Update Date2023-06-22
Business Address
JACOB MICELI
5501 ANTIQUE ROSE WAY
RIVERBANK, CA 95367-9505
Phone number: 209-521-4791
Mailing Address
JACOB MICELI
DEPT LA 22763
PASADENA, CA 91185-0001
Phone number:
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