Jacob Mann, RBT
Behavior Technician in Jeffersonville, IN. Individual provider (NPI-1).
NPI number1437745783
StatusActive
Last updated in NPPESDec 21, 2020
Details
- NPI
- 1437745783
- Entity type
- Individual (NPI-1)
- Name
- Jacob Mann
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2020
- Certification date
- Dec 21, 2020
- Last updated
- Dec 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-148974 | IN | Yes |
Practice location
355 Quartermaster CtJeffersonville, IN 47130-3670
Phone 812-258-9802 · Fax 317-520-8200
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Phone 855-324-0885 · Fax 317-520-8200
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All 297 Behavior Technician providers in Jeffersonville · All 1,644 providers in Jeffersonville
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