Individual
JAKE N MOSBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
2100 KRAMER LN STE 300, AUSTIN, TX 78758-4094
(512) 572-0157
Mailing address
11915 STONEHOLLOW DR APT 1126B, AUSTIN, TX 78758-3112
(785) 313-2518
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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