Individual
COLIN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 LATROBE DR STE B, CHARLOTTE, NC 28211-5227
(704) 780-4271
(888) 261-6694
Mailing address
405 ORANGE ST APT 2, CHARLOTTE, NC 28205-7597
(585) 615-6849
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1604
NC
106S00000X
Behavior Technician
—
NC
Other
Enumeration date
04/19/2021
Last updated
05/05/2025
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