NPI 1003484064

Jacob Shain

Practitioner Behavior Technician Glendale, AZ

Practice location

Address: 17235 N 75th Ave Suite G-120, Glendale, AZ 85308-0831
Phone: (303) 989-8169

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Arizona →

Registry record

NPI: 1003484064
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2021
Record last updated: 16 Jun 2021

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.