Individual
JACOB KOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(877) 418-2978
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(877) 418-2978
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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