Kayla Rose Jacobson
Behavior Technician in Pittston, PA. Individual provider (NPI-1).
NPI number1417565656
StatusActive
Last updated in NPPESJul 14, 2020
Details
- NPI
- 1417565656
- Entity type
- Individual (NPI-1)
- Name
- Kayla Rose Jacobson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2020
- Certification date
- Jul 14, 2020
- Last updated
- Jul 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1081 Oak St Ste 3Pittston, PA 18640-3716
Phone 570-802-3099
Mailing address
20 Center Grove RdRandolph, NJ 07869-4408
Phone 973-830-0443
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All 65 Behavior Technician providers in Pittston · All 389 providers in Pittston
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