Kia Jacob

NPI #1013467372 in Livonia, Michigan

Provider Information

NPI Number: 1013467372
Entity Type: Individual
Name: Kia Jacob
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 11, 2016
Last Updated: Oct 11, 2016

Practice Location

Address: 38807 ANN ARBOR RD STE 3
City: Livonia
State: Michigan
ZIP Code: 48150-3896
Phone: (734) 474-2958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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