Holly Christina Jacobson

NPI #1164044046 in Derwood, Maryland

Provider Information

NPI Number: 1164044046
Entity Type: Individual
Name: Holly Christina Jacobson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 13, 2020
Last Updated: Sep 29, 2021

Practice Location

Address: 7529 STANDISH PL STE 355
City: Derwood
State: Maryland
ZIP Code: 20855-2733
Phone: (571) 317-1742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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