SYDNEY SOPHIA LAUREN JACOB

BLOOMINGTON, IN
NPI1619787199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies103K00000X Behavior Analyst
Enumeration Date2025-01-08
Last Update Date2025-01-08
Business Address
SYDNEY SOPHIA LAUREN JACOB
239 E WINSLOW RD
BLOOMINGTON, IN 47401-8638
Phone number: 812-202-6001
Mailing Address
SYDNEY SOPHIA LAUREN JACOB
2495 S WALNUT STREET PIKE
BLOOMINGTON, IN 47401-8431
Phone number: 812-202-6001