Individual
KELSEY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 SW US HIGHWAY 40 STE 210, BLUE SPRINGS, MO 64015-4646
(816) 265-1170
Mailing address
1700 SW US HIGHWAY 40 STE 210, BLUE SPRINGS, MO 64015-4646
(816) 265-1170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-164829
MO
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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