NPI 1003432493

Maya Marie Jacob

Practitioner Behavior Technician Dearborn, MI

Practice location

Address: 1360 Porter St, Dearborn, MI 48124-2890
Phone: (313) 689-5188

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Michigan →

Registry record

NPI: 1003432493
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2020
Record last updated: 22 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.