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Jacob York

Behavior Technician in Saint Robert, MO. Individual provider (NPI-1).

NPI number1144898024
StatusActive
Last updated in NPPESJun 16, 2021

Details

NPI
1144898024
Entity type
Individual (NPI-1)
Name
Jacob York
Sex
Male
Sole proprietor
No
Enumeration date
Jun 16, 2021
Certification date
Jun 16, 2021
Last updated
Jun 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

496 Old Route 66
Saint Robert, MO 65584

Phone 573-246-6164

Mailing address

496 Old Route 66
St Robert, MO 65584

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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