Individual
KIMBERLY MICHELLE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 AVENTS FERRY RD, SANFORD, NC 27330-6415
(919) 771-3391
Mailing address
2500 AVENTS FERRY RD, SANFORD, NC 27330-6415
(919) 771-3391
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-8390
NC
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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