Individual
MRS. SUSAN LYNN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1012 COLLEGE RD STE 103, DOVER, DE 19904-6506
(484) 681-2170
Mailing address
583 SHOEMAKER RD STE 230, KING OF PRUSSIA, PA 19406-4238
(484) 681-2170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-30404
DE
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
06/21/2023
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