Individual
JACOB PRESTON JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4501 N CAMINO DEL OBISPO, TUCSON, AZ 85718-6605
(234) 425-7555
Mailing address
4501 N CAMINO DEL OBISPO, TUCSON, AZ 85718-6605
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000679
AZ
106S00000X
Behavior Technician
RBT-19-84618
AZ
Other
Enumeration date
06/11/2019
Last updated
06/08/2021
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