Individual
JACOB ANTHONY HARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
706 W PATRICK ST, FREDERICK, MD 21701-4030
(301) 882-7932
Mailing address
706 W PATRICK ST, FREDERICK, MD 21701-4030
(301) 882-7932
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80417
MD
106E00000X
Assistant Behavior Analyst
0-21-11705
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-21-11705
BACB
MD
Enumeration date
06/30/2021
Last updated
08/15/2025
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