Holly Christina Jacobson
Behavior Technician in Derwood, MD. Individual provider (NPI-1).
NPI number1164044046
StatusActive
Last updated in NPPESSep 29, 2021
Details
- NPI
- 1164044046
- Entity type
- Individual (NPI-1)
- Name
- Holly Christina Jacobson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2020
- Certification date
- Sep 29, 2021
- Last updated
- Sep 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7529 Standish Pl Ste 355Derwood, MD 20855-2733
Phone 571-317-1742
Mailing address
7529 Standish Pl Ste 355Derwood, MD 20855-2733
Phone 571-317-1742
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