Jacob Dylan Evans
Jacob Dylan Evans is a Behavior Technician in Prudenville, Michigan. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1070 W Houghton Lake DrPrudenville, MI 48651-9613
Phone: (989) 272-3002
Fax: (123) 136-8638
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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 | 1083367551 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 3, 2022 |
| Last updated in NPPES | February 3, 2022 |
| Certification date | February 3, 2022 |
| Mailing address | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 |
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Miss. Alysa Marie Fassett
1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 · (989) 272-3073
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Sena Fayed
1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 · (989) 272-3073