Individual
BRIANNA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 THOMAS JOHNSON DR STE A, FREDERICK, MD 21702-4371
(301) 662-3808
Mailing address
65 THOMAS JOHNSON DR STE A, FREDERICK, MD 21702-4371
(301) 662-3808
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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