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Individual

JACOB TIMOTHY SPITZACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
360 S GARDEN WAY STE 250, EUGENE, OR 97401-8175
(541) 726-1465
Mailing address
460 E 14TH AVE APT 11, EUGENE, OR 97401-8223
(651) 403-2514

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10195019
OR

Other

Enumeration date
11/08/2018
Last updated
11/08/2018
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Product
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  • EDI platform