JOHNATHON JACOBSEN

Behavior Technician

NPI: 1699363143Individual

Specialties, Licenses & Credentials

Behavior TechnicianPrimary

Behavior Technician

Code: 106S00000X

10212054(OR)

Contact & Hours

Address: 912 NE KELLY AVE # 100C
GRESHAM, OR 97030
Phone: (503) 912-5502

Quick Facts

NPI: 1699363143
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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