Jacob L Holt
Jacob L Holt is a Behavior Technician in Broken Arrow, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3501 W Kenosha StBroken Arrow, OK 74012-8948
Phone: (918) 994-2764
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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 | 1336877513 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 15, 2022 |
| Last updated in NPPES | August 15, 2022 |
| Certification date | August 15, 2022 |
| Mailing address | 2405 Palmer Cir Ste 100, Norman, OK 73069-6351 |
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