Individual
DEANNA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1110 13TH ST, COLUMBUS, GA 31901-2246
(706) 780-1704
Mailing address
707 W MAIN ST, THOMASTON, GA 30286-3584
(404) 547-7608
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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