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-- TAYLOR JACOBS -- M.S., BCBA

Individual Provider (NPI-1) Active

Behavior Analyst

Provider Information

NPI Number
1508219890
Provider Type
Individual Provider (NPI-1)
Credentials
M.S., BCBA
Status
Active

Contact & Location

Address
125 INDIAN LOOKOUT DR, LANDER, WY, 825203057
Phone
(307) 438-1039

Specialties & Taxonomies

Behavior Analyst Primary License: WY #1-15-19964
Psychologist, School License: WY #PTSB63527
Psychologist License: WY #PTSB63527

All Addresses

MAILING

125 INDIAN LOOKOUT DR

LANDER, WY, 825203057

(307) 438-1039

LOCATION

125 INDIAN LOOKOUT DR

LANDER, WY, 825203057

(307) 438-1039