Individual
AMAIYAH JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
5959 LAKE ELLENOR DR, ORLANDO, FL 32809-4633
(321) 972-4039
Mailing address
5959 LAKE ELLENOR DR, ORLANDO, FL 32809-4633
(321) 972-4039
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-26-16956
FL
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
03/20/2026
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