Individual provider · NPI-1

Jacob Leonard Barba Sr.

Behavior Analyst · Santa Fe, NM

NPI number1881943975
StatusActive
Last updated in NPPESSep 5, 2012

Details

NPI
1881943975
Entity type
Individual (NPI-1)
Name
Mr. Jacob Leonard Barba Sr.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 5, 2012
Last updated
Sep 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

2960 Rodeo Park Dr. West
Santa Fe, NM 87505-6351

Phone 505-986-9633

Mailing address

2960 Rodeo Park Dr.West
Santa Fe, NM 87505-6351

Phone 505-986-9633

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