Individual
JEFFREY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
364 BEECHSPRING RD, SOUTH ORANGE, NJ 07079-1512
(973) 763-9416
Mailing address
364 BEECHSPRING RD, SOUTH ORANGE, NJ 07079-1512
(973) 763-9416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4393
FL
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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