NPI 1013641117
Michaela Jacoby
Practice location
- Address
- 2703 SE Otis Corley Dr STE 11, Bentonville, AR 72712-3414
- Phone
- (479) 346-2065
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1013641117
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Jul 2022
- Record last updated
- 13 Jul 2022
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.