Individual
JACOB ROY STAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BENNETT ST, LYNN, MA 01905-3004
(781) 593-1680
Mailing address
9 BEVERLY HILLS AVE, BEVERLY, MA 01915-2301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
04/28/2026
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