Individual
JACOB OLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 TOLL GATE RD STE 309, WARWICK, RI 02886-4463
(401) 310-2220
Mailing address
11 MILK ST UNIT 2, BRISTOL, RI 02809-2219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
LABA10000305
MA
103K00000X
Behavior Analyst
Primary
LBA00477
RI
Other
Enumeration date
06/21/2023
Last updated
05/06/2025
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