Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Alan Bol

Individual provider Behavior Technician · NPI 1467079350

Jacob Alan Bol is a Behavior Technician in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

100 Cherry St SE
Grand Rapids, MI 49503-4526
Phone: (616) 965-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6852093221 (MI)
Behavior Technician Taxonomy 106S00000X (MI)

Record details

NPI number1467079350
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 26, 2020
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 24, 2023
Mailing address100 Cherry St Se, Grand Rapids, MI 49503-4526

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