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

Shoshannah Beth Jacobs

Individual provider Behavior Technician · NPI 1659972974

Shoshannah Beth Jacobs is a Behavior Technician in Whitestone, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1902 149th St
Whitestone, NY 11357-3116
Phone: (516) 780-0770
Fax: (718) 764-1238
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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 number1659972974
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 3, 2020
Last updated in NPPESNovember 3, 2020
Certification dateNovember 3, 2020
Mailing address60 Senix Ave, Center Moriches, NY 11934-2905

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