Individual
JACOB MICHAEL WIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 E GENERAL STEWART WAY STE 103, HINESVILLE, GA 31313-2636
(877) 321-2899
Mailing address
740 E GENERAL STEWART WAY STE 103, HINESVILLE, GA 31313-2636
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-22-229105
GA
Other
Enumeration date
02/21/2024
Last updated
06/18/2025
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