Jake Albert Goldstein
Jake Albert Goldstein is an Other Technician in Fort Myers, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
9160 Forum Corporate Pkwy Ste 350Fort Myers, FL 33905-7808
Phone: (855) 832-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1386345221 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 16, 2023 |
| Last updated in NPPES | May 17, 2023 |
| Certification date | May 17, 2023 |
| Mailing address | 7108 S Kanner Hwy, Stuart, FL 34997-7462 |
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