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Individual
MR. JACOB LEONARD BARBA SR.
Active
Individual
MR. JACOB LEONARD BARBA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
BEHAVIORIAL HEALTH SERVICES
NM
Enumeration date
09/05/2012
Last updated
09/05/2012
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