JAKIA DOUGLAS

O FALLON, IL
NPI1740752369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IL  D242-4329-9873)
Enumeration Date2018-12-20
Last Update Date2018-12-20
Business Address
JAKIA DOUGLAS
634 N MAIN ST STE 4
O FALLON, IL 62269-3746
Phone number: 618-726-0701
Mailing Address
JAKIA DOUGLAS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345