Austin, Jacob
Austin, Jacob is an individual health care provider with primary practice located at 4422 E State Blvd , Fort Wayne IN 46815-6917. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Austin, Jacob can be contacted via phone (260) 471-9263.Contact Information
Primary practice address
4422 E State Blvd
Fort Wayne IN 46815-6917
Phone: (260) 471-9263
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-21-188984 | Indiana |
Profile Details
| NPI number | 1255094371 |
|---|---|
| LBN Legal business name | Austin, Jacob |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2021 |
| Last updated | Oct 15th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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