Individual
DANIELLE MARIE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 ROUTE 73 N STE H, MARLTON, NJ 08053-1277
(732) 659-1159
Mailing address
925 ROUTE 73 N STE H, MARLTON, NJ 08053-1277
(732) 659-1159
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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