Scott, Jacob

Scott, Jacob is an individual health care provider with primary practice located at 790 Fuller Ave Ne , Grand Rapids MI 49503-1918. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is his primary health care specialty. Scott, Jacob can be contacted via phone (616) 336-3909.

Contact Information

Primary practice address
790 Fuller Ave Ne Grand Rapids MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-18-8888

Profile Details

NPI number 1114370889
LBN Legal business name Scott, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2016
Last updated Mar 23rd, 2022 - 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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