Jacob Villalta
NPI #1629788732 in Middlefield, Ohio
Provider Information
- NPI Number
- 1629788732
- Entity Type
- Individual
- Name
- Jacob Villalta
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 29, 2022
- Last Updated
- Nov 29, 2022
Practice Location
- Address
- 14986 BUNDYSBURG RD
- City
- Middlefield
- State
- Ohio
- ZIP Code
- 44062-9778
- Phone
- (440) 313-7922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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