Ava Blue Jacobsen
Ava Blue Jacobsen is a Behavior Technician in San Luis Obispo, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1212 Marsh StSan Luis Obispo, CA 93401-3346
Phone: (805) 801-6524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1194560532 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 27, 2024 |
| Last updated in NPPES | June 27, 2024 |
| Certification date | June 27, 2024 |
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