Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellijo Jacobson

Individual provider Behavior Technician · NPI 1538985957

Kellijo Jacobson is a Behavior Technician in Bosque Farms, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2827 Parklane Dr
Bosque Farms, NM 87068-8901
Phone: (505) 401-1969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1538985957
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 2, 2024
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address2827 Parklane Dr, Bosque Farms, NM 87068-8901

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