Individual
JACOB TRAN-MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1513 ESPLANADE AVE, DAVENPORT, IA 52803-3228
(563) 639-5336
Mailing address
1513 ESPLANADE AVE, DAVENPORT, IA 52803-3228
(563) 639-5336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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