Individual
JACOB HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5328 LANIER ISLANDS PKWY, BUFORD, GA 30518-9071
(470) 655-1970
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
061570876
GA
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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