Harner, Jacob Anthony

Harner, Jacob Anthony is an sole proprietor health care provider with primary practice located at 706 W Patrick St , Frederick MD 21701-4030. 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. Harner, Jacob Anthony can be contacted via phone (301) 882-7932.

Contact Information

Primary practice address
706 W Patrick St Frederick MD 21701-4030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-21-11705 Maryland

Profile Details

NPI number 1609446772
LBN Legal business name Harner, Jacob Anthony
Credentials BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2021
Last updated Jun 30th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609446772 NPPES
Maryland Other 0-21-11705 BACB

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