NPI 1114370889

Jacob Scott

Practitioner Assistant Behavior Analyst Grand Rapids, MI

Practice location

Address: 790 Fuller Ave NE, Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830

Registered specialties (2)

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0-18-8888

Other Assistant Behavior Analyst providers in Michigan →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1114370889
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2016
Record last updated: 23 Mar 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.