NPI 1417319500

Lynette Jacobs, BCBA

Practitioner Behavior Analyst Goose Creek, SC

Practice location

Address: 174 Mayfield Dr, Goose Creek, SC 29445-7301
Phone: (843) 410-8348
Fax: (888) 417-8523

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-16-21768 (SC)

Other Behavior Analyst providers in South Carolina →

Registry record

NPI: 1417319500
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2016
Record last updated: 28 Mar 2016

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.