Individual
KIMBERLY ANN YACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Mailing address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
175T00000X
Peer Specialist
APS.005410
OH
Other
Enumeration date
09/14/2021
Last updated
06/20/2025
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