Individual
ADEENA JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, BCBA
Contact information
Practice address
5 JODI CT, MONSEY, NY 10952-1115
(917) 882-2744
(845) 354-7991
Mailing address
5 JODI CT, MONSEY, NY 10952-1115
(917) 882-2744
(845) 354-7991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7307
NY
174400000X
Specialist
1148437
NY
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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