Individual
JACOB MCBRIDE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
400 S BROADWAY S SUITE 6, EDMIND, OK 73034
(405) 318-6593
Mailing address
1122 NW 34TH ST, OKLAHOMA CITY, OK 73118-5613
(405) 924-6151
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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