SearchSouth Carolina103K00000X

Lynette Jacobs, BCBA

NPI 1417319500 · on the registry since 2016

Practice

Address
174 Mayfield Dr
Goose Creek, SC 29445
Phone
(843) 410-8348
Fax
(888) 417-8523

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina