Jacob Shain

NPI #1003484064 in Glendale, Arizona

Provider Information

NPI Number: 1003484064
Entity Type: Individual
Name: Jacob Shain
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 16, 2021
Last Updated: Jun 16, 2021

Practice Location

Address: 17235 N 75TH AVE
Address 2: SUITE G-120
City: Glendale
State: Arizona
ZIP Code: 85308-0831
Phone: (303) 989-8169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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