Individual
SHANNA LEIGH JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 KERN WAY, YAKIMA, WA 98902-6340
(509) 574-3200
(509) 574-3210
Mailing address
3801 KERN WAY, YAKIMA, WA 98902-6340
(509) 574-3200
(509) 574-3210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61367618
WA
Other
Enumeration date
04/11/2018
Last updated
10/02/2024
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