MR. Jacob Raymond Boneck

NPI #1609255827 in Niles, Illinois

Provider Information

NPI Number: 1609255827
Entity Type: Individual
Name: MR. Jacob Raymond Boneck
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: May 20, 2015
Last Updated: May 20, 2015

Practice Location

Address: 8136 W OAK LN
City: Niles
State: Illinois
ZIP Code: 60714-2720
Phone: (224) 829-8414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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