Individual
CARLY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 CORPORATE DR, HALFMOON, NY 12065-8612
(518) 212-7559
Mailing address
7 CORPORATE DR, HALFMOON, NY 12065-8612
(518) 212-7559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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