Jacob Cohen

NPI #1174021166 in Derwood, Maryland

Provider Information

NPI Number: 1174021166
Entity Type: Individual
Name: Jacob Cohen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 25, 2018
Last Updated: Jan 25, 2018

Practice Location

Address: 7613 STANDISH PL
City: Derwood
State: Maryland
ZIP Code: 20855-2702
Phone: (818) 345-2345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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