Individual
AUSTIN EDWARD JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5345 RENO CORPORATE DR, RENO, NV 89511-2381
(702) 815-4036
Mailing address
5345 RENO CORPORATE DR, RENO, NV 89511-2381
(702) 815-4036
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/06/2024
Last updated
08/20/2024
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