Jeremy James Jacobs

NPI #1649064403 in Bemidji, Minnesota

Provider Information

NPI Number: 1649064403
Entity Type: Individual
Name: Jeremy James Jacobs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 7, 2025
Last Updated: Apr 7, 2025

Practice Location

Address: 2508 WASHINGTON AVE SE
City: Bemidji
State: Minnesota
ZIP Code: 56601-8847
Phone: (952) 767-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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