Individual
JACOB DANIEL ACTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8230 LEESBURG PIKE STE 740, VIENNA, VA 22182-2641
(877) 504-4141
Mailing address
867 DEKALB AVE APT 5B, BROOKLYN, NY 11221-6249
(571) 422-6005
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
163W00000X
Registered Nurse
N10537
NY
Other
Enumeration date
09/19/2022
Last updated
10/21/2025
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