Individual
JACOB LEONARD BARBA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2360
(505) 342-5489
Mailing address
41521 W. 11 MILE ROAD, NOVI, MI 48375, NOVI, MI 48375
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
02/23/2018
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