Individual
MARLENA JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
749 37TH AVE, SANTA CRUZ, CA 95062-5124
(844) 322-7483
Mailing address
749 37TH AVE, SANTA CRUZ, CA 95062-5124
(844) 322-7483
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
07/21/2022
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