Individual
NOELLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
7110 JORDAN DR, RAPID CITY, SD 57702-8738
(605) 798-1740
Mailing address
681 YOSEMITE WAY, WHITEWOOD, SD 57793-3101
(951) 551-9608
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
024
SD
Other
Enumeration date
12/22/2017
Last updated
09/03/2019
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