Mr. Jacob Alexander Illish
Mr. Jacob Alexander Illish is a Behavior Technician in Danville, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4125 Blackhawk Plaza Cir Ste 230Danville, CA 94506-4648
Phone: (844) 262-8466
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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 | 1861001562 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 28, 2020 |
| Last updated in NPPES | July 28, 2020 |
| Certification date | July 28, 2020 |
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