Individual
VALERIE JAKUBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
22447 EDISON ST, DEARBORN, MI 48124-2789
(313) 277-5017
Mailing address
22447 EDISON ST, DEARBORN, MI 48124-2789
(313) 515-9198
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27533
MI
103K00000X
Behavior Analyst
7401000233
MI
247200000X
Other Technician
—
—
Other
Enumeration date
08/18/2015
Last updated
07/14/2021
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