Jacob Petersen
Jacob Petersen is a Behavior Technician in El Dorado Hills, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1106 Windfield Way Ste 1El Dorado Hills, CA 95762-9360
Phone: (916) 357-5837
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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 | 1437784089 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 4, 2020 |
| Last updated in NPPES | March 4, 2020 |
| Certification date | March 4, 2020 |
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Evan Pedri
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Elenie Perez
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David Persson, RBT-18-56089
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