Individual
JACOB HACKBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
4501 N CAMINO DEL OBISPO, TUCSON, AZ 85718-6605
(855) 462-3672
Mailing address
4501 N CAMINO DEL OBISPO, TUCSON, AZ 85718-6605
(855) 462-3672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-76545
AZ
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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