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Individual
IVE JACOBSON
Active
Individual
IVE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
C-224
LA
103K00000X
Behavior Analyst
Primary
L-1005
LA
106S00000X
Behavior Technician
011858379
LA
Other
Enumeration date
02/10/2022
Last updated
08/30/2025
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