Individual
JACOB DEAN HIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
6191 S 108TH ST, HALES CORNERS, WI 53130-2524
(414) 475-1896
Mailing address
4031 S KATHERINE DR, NEW BERLIN, WI 53151-5627
(262) 312-0328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/18/2024
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