Individual
JACOB THOMAS COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S, CHW
Contact information
Practice address
1927 N TREKELL RD, SUITE D, CASA GRANDE, AZ 85122
(520) 876-9714
(520) 876-5154
Mailing address
1927 N TREKELL RD, SUITE D, CASA GRANDE, AZ 85122
(520) 876-9714
(520) 876-5154
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CHW-0000000315
AZ
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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