Individual
JACOB SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
614 38TH ST S, BIRMINGHAM, AL 35222-2414
(205) 790-1316
Mailing address
9955 TRAMMEL RD, DORA, AL 35062-1617
(205) 224-3450
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2023-047
AL
106S00000X
Behavior Technician
RBT-20-111971
AL
Other
Enumeration date
02/06/2020
Last updated
04/05/2024
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