Most Relevant Information
Provider Data
| NPI Number: | 1003504838 |
| Provider Name: | SARA JACOBS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/28/2023 |
| Last Updated: | 04/28/2023 |
Provider Practice Location
5100 78TH AVE N STE 6
PINELLAS PARK
FL
337812407
Practice Location Phone/Fax
| Phone: | 7273177916 |
| Fax: |
Provider Mailing Location
1016 14TH AVE NW
LARGO
FL
337701011
Provider Mailing Phone/Fax
| Phone: | 3522204441 |
| Fax: |