Individual
JACOB DAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
491 CROWELL RD, CARBONDALE, IL 62902-6135
(813) 508-8716
Mailing address
491 CROWELL RD, CARBONDALE, IL 62902-6135
(813) 508-8716
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10232
IL
Other
Enumeration date
08/11/2010
Last updated
09/08/2015
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