Individual
JACOB ALAN CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
11811 MISTY PEAK LN, HUMBLE, TX 77346-3576
(832) 452-1785
Mailing address
11811 MISTY PEAK LN, HUMBLE, TX 77346-3576
(832) 452-1785
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28203
TX
Other
Enumeration date
01/05/2018
Last updated
10/27/2020
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