Individual
JACOB MULLENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1087 HARBOR DR STE A, WEST COLUMBIA, SC 29169-3609
(803) 760-5611
(803) 888-4064
Mailing address
1087 HARBOR DR STE A, WEST COLUMBIA, SC 29169-3609
(803) 760-5611
(803) 888-4064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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