Individual
YEHUDIS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
110 SUNSET RD, LAKEWOOD, NJ 08701-3175
(732) 905-6681
Mailing address
110 SUNSET RD, LAKEWOOD, NJ 08701-3175
(732) 905-6681
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72408
NJ
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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