Individual
JACOB LUKE ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1851 NW CIVIC DR, GRESHAM, OR 97030-5566
(971) 292-1050
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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