Jacob Alan Bomgaars
Jacob Alan Bomgaars is a Behavior Technician in Pasadena, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
225 S Lake Ave Ste 300Pasadena, CA 91101-3009
Phone: (626) 410-0299
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1710742069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 15, 2024 |
| Last updated in NPPES | February 15, 2024 |
| Certification date | February 15, 2024 |
| Mailing address | 225 S Lake Ave Ste 300, Pasadena, CA 91101-3009 |
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