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Individual
DR. JOSEPH DANIEL JACOBS
Active
Individual
DR. JOSEPH DANIEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, BCBA-D
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
PSY33549
CA
103TC0700X
Clinical Psychologist
Primary
PSY33549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR8889095
—
CA
Enumeration date
03/05/2015
Last updated
03/26/2023
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