JACOB SAMUEL NELSON

PHOENIX, AZ
NPI1871256842
Other NameJACOB NELSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2021-10-18
Last Update Date2023-05-31
Business Address
JACOB SAMUEL NELSON BHT
15214 N CAVE CREEK RD STE A
PHOENIX, AZ 85032-4360
Phone number: 888-973-2090
Mailing Address
JACOB SAMUEL NELSON BHT
5707 N 44TH LN STE B
GLENDALE, AZ 85301-6307
Phone number: 800-501-4732
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