Individual
JACOB KEYSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HALLORAN PARK LN, SAINT CLAIRSVILLE, OH 43950-1367
(740) 296-5743
Mailing address
1 HALLORAN PARK LN, SAINT CLAIRSVILLE, OH 43950-1367
(740) 296-5743
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125553494
—
WV
05
—
1356607394
—
WV
05
—
1821206228
—
WV
Enumeration date
11/17/2021
Last updated
12/09/2025
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