Individual
JACOB J MAVKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(614) 355-7570
(614) 355-7580
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
COBA.01489
OH
Other
Enumeration date
10/05/2017
Last updated
04/22/2025
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