Most Relevant Information
Provider Data
| NPI Number: | 1003489022 |
| Provider Name: | JACOB HILLMAN BCBA, LBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 12379614-2506 |
Most Important Dates
| Enumeration Date: | 07/19/2021 |
| Last Updated: | 05/11/2022 |
Provider Practice Location
2940 N CHURCH ST STE 204
LAYTON
UT
840406616
Practice Location Phone/Fax
| Phone: | 2088217770 |
| Fax: |
Provider Mailing Location
1830 S 875 E
CLEARFIELD
UT
840156264
Provider Mailing Phone/Fax
| Phone: | 2088217770 |
| Fax: |