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Individual
JACOB BRIGHT
Active
Individual
JACOB BRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60103
IN
106S00000X
Behavior Technician
RBT-19-106221
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-60103
BCBA CERTIFICATION
IN
01
—
95001371A
LICENSED BEHAVIOR ANALYST
IN
Enumeration date
04/21/2022
Last updated
06/05/2026
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