Individual
KAYLA ROSE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1081 OAK ST STE 3, PITTSTON, PA 18640-3716
(570) 802-3099
Mailing address
20 CENTER GROVE RD, RANDOLPH, NJ 07869-4408
(973) 830-0443
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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