Jacob Soss
Behavior Technician in Burbank, CA. Individual provider (NPI-1).
NPI number1831985191
StatusActive
Last updated in NPPESApr 15, 2025
Details
- NPI
- 1831985191
- Entity type
- Individual (NPI-1)
- Name
- Jacob Soss
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2025
- Certification date
- Apr 15, 2025
- Last updated
- Apr 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
619 E Olive Ave Unit BBurbank, CA 91501-2133
Phone 510-409-3193
Mailing address
619 E Olive Ave Unit BBurbank, CA 91501-2133
Phone 510-409-3193
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