Organization
JT LICENSE BEHAVIOR ANALYST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB TAUB (BCBA)
(347) 916-2192
Entity
Organization
Contact information
Practice address
1252 42ND ST, BROOKLYN, NY 11219-1370
(347) 916-2192
Mailing address
1252 42ND ST, BROOKLYN, NY 11219-1370
(347) 916-2192
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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