Individual
CODY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
22906 CHEYENNE DR, VALENCIA, CA 91354-2521
(661) 416-8379
Mailing address
22906 CHEYENNE DR, VALENCIA, CA 91354-2521
(661) 416-8379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28503
CA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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