Individual
DAVID THOMAS JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1033 SW 152ND ST, BURIEN, WA 98166-1845
(206) 242-1698
Mailing address
214 S 70TH ST, TACOMA, WA 98408-6109
(707) 332-1258
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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