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Jacob J Mavko

Behavior Analyst in Westerville, OH. Individual provider (NPI-1).

NPI number1417467390
StatusActive
Last updated in NPPESApr 22, 2025

Details

NPI
1417467390
Entity type
Individual (NPI-1)
Name
Jacob J Mavko
Sex
Male
Sole proprietor
No
Enumeration date
Oct 5, 2017
Certification date
Apr 22, 2025
Last updated
Apr 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior AnalystCOBA.01489OHYes

Practice location

195 W Schrock Rd
Westerville, OH 43081-2890

Phone 614-355-7570 · Fax 614-355-7580

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664

Phone 614-722-2000

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