Jacob Stephan
Jacob Stephan is a Behavior Technician in Anaheim, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
100 S Anaheim BlvdAnaheim, CA 92805-3848
Phone: (888) 428-3223
Fax: (323) 866-1881
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1679148290 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 25, 2021 |
| Last updated in NPPES | May 25, 2021 |
| Certification date | May 25, 2021 |
| Mailing address | 4221 Wilshire Blvd Ste 300a, Los Angeles, CA 90010-3537 |
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