Individual
JACOB ALEXANDER PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 REDWOOD DR, AURORA, IL 60506-3383
(630) 401-8311
Mailing address
520 REDWOOD DR, AURORA, IL 60506-3383
(630) 401-8311
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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