Individual
BRIANNA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 SCOTT DR, LAMAR, SC 29069-8895
(843) 858-5446
Mailing address
1023 SCOTT DR, LAMAR, SC 29069-8895
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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