Individual
VERA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
205 WHITE TAIL CT, FAYETTEVILLE, GA 30214-4923
(818) 241-6780
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/07/2020
Last updated
05/25/2021
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