Individual
JESSENIA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 BROOK AVE, BOSTON, MA 02119-3309
(774) 223-3115
Mailing address
42 BROOK AVE, BOSTON, MA 02119-3309
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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