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Jacob Kerckaert

Behavior Technician in Okemos, MI. Individual provider (NPI-1).

NPI number1255152187
StatusActive
Last updated in NPPESOct 23, 2024

Details

NPI
1255152187
Entity type
Individual (NPI-1)
Name
Jacob Kerckaert
Sex
Male
Sole proprietor
No
Enumeration date
Oct 23, 2024
Certification date
Oct 23, 2024
Last updated
Oct 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2400 Science Pkwy
Okemos, MI 48864-2560

Phone 517-927-8696

Mailing address

2400 Science Pkwy
Okemos, MI 48864-2560

Phone 517-927-8696

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