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

MS. Lanise Jacobs

Individual provider Behavior Technician · NPI 1396470621

MS. Lanise Jacobs is a Behavior Technician in Boston, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

90 Canal St
Boston, MA 02114-2018
Phone: (888) 922-2843
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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 number1396470621
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2022
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022
Mailing address90 Canal St, Boston, MA 02114-2018

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