Individual
AMANDA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6560 LONETREE BLVD STE 100, ROCKLIN, CA 95765-5891
(866) 523-4268
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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