Baxter, Jacob

Baxter, Jacob is an individual health care provider with primary practice located at 5168 N Blythe Ave Ste 102 , Fresno CA 93722-6478. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Baxter, Jacob can be contacted via phone (559) 255-5900.

Contact Information

Primary practice address
5168 N Blythe Ave Ste 102 Fresno CA 93722-6478
Phone: (559) 255-5900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1518567171
LBN Legal business name Baxter, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2020
Last updated Oct 31st, 2020 - 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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