Jacob Matheny Desuyo, DSL, BCBA
NPI #1104626886 in Saint Augustine, Florida
Provider Information
- NPI Number
- 1104626886
- Entity Type
- Individual
- Name
- Jacob Matheny Desuyo, DSL, BCBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- DSL, BCBA
- Enumeration Date
- Mar 13, 2025
- Last Updated
- Mar 13, 2025
Practice Location
- Address
- 204 GALLICIA AVE
- City
- Saint Augustine
- State
- Florida
- ZIP Code
- 32086-8838
- Phone
- (904) 401-7144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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