Individual
MR. NICHOLAS GRANT JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
5 DOWD CIR STE A, PINEHURST, NC 28374-7932
(910) 295-2609
(800) 948-6061
Mailing address
5 DOWD CIR STE A, PINEHURST, NC 28374-7932
(910) 295-2609
(800) 948-6061
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36212
IL
Other
Enumeration date
06/26/2019
Last updated
02/21/2023
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