Jake Carroll

NPI #1639823438 in Acton, Massachusetts

Provider Information

NPI Number: 1639823438
Entity Type: Individual
Name: Jake Carroll
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 10, 2022
Last Updated: Feb 10, 2022

Practice Location

Address: 12 DURKEE ROAD
City: Acton
State: Massachusetts
ZIP Code: 01720
Phone: (978) 844-7068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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