JOHNATHON JACOBSEN

specializing in behavior technician in Gresham, Oregon

NPI: 1699363143

Provider Type

1

Practice Locations

Mailing Location

4920 NE GLISAN ST APT 215

PORTLAND, OR 97213

📞 7206334818

Practice Location

912 NE KELLY AVE # 100C

GRESHAM, OR 97030

📞 5039125502

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:1/8/2021
Last Updated:1/8/2021

Credentials

Primary Credential:
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JOHNATHON JACOBSEN - Behavior Technician in Gresham, Oregon