Jacob Douglas Moulin
Jacob Douglas Moulin is a Behavior Technician in Chandler, Arizona. Licensed in Arizona. Registered with an NPI since 2024.
- Licensed in
- AZ
- In the registry since
- 2024
Practice location Address checks out
3100 W Ray Rd Ste 201Chandler, AZ 85226-2472
Phone: (623) 400-3330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (AZ) |
|---|
Record details
| NPI number | 1851128979 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 14, 2024 |
| Last updated in NPPES | September 14, 2024 |
| Certification date | September 14, 2024 |
| Mailing address | 7108 S Kanner Hwy, Stuart, FL 34997-7462 |
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