Individual
JACOB FIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12055 N HIGHWAY 14, CEDAR CREST, NM 87008-9405
(505) 750-0477
Mailing address
12055 N HIGHWAY 14, CEDAR CREST, NM 87008-9405
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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