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Jacob Luke Allison

Behavior Technician in Gresham, OR. Individual provider (NPI-1).

NPI number1720807233
StatusActive
Last updated in NPPESOct 10, 2024

Details

NPI
1720807233
Entity type
Individual (NPI-1)
Name
Jacob Luke Allison
Sex
Male
Sole proprietor
No
Enumeration date
Oct 10, 2024
Certification date
Oct 10, 2024
Last updated
Oct 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1851 Nw Civic Dr
Gresham, OR 97030-5566

Phone 971-292-1050

Mailing address

7500 San Felipe St Ste 990
Houston, TX 77063-1708

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