Individual
JACOB MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 S BLACKHAWK ST 100, AURORA, CO 80014
(303) 632-4100
Mailing address
21600 OXNARD ST, 1800, WOODLAND HILLS, CA 91367
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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