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Individual
JACOB HILLMAN
Active
Individual
JACOB HILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12379614-2506
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12379614-2506
LICENSE NUMBER
UT
Enumeration date
07/19/2021
Last updated
05/11/2022
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