Individual
JACOB ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA
Contact information
Practice address
6544 HAMPTON ST, PORTAGE, MI 49024-2534
(269) 365-8163
Mailing address
6544 HAMPTON ST, PORTAGE, MI 49024-2534
(269) 365-8163
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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