Hugaboom, Jacob
Hugaboom, Jacob is an sole proprietor health care provider with primary practice located at 2666 State St Ste A3 , Hamden CT 06517-2232. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Hugaboom, Jacob can be contacted via phone (888) 754-0398.Contact Information
Primary practice address
2666 State St Ste A3
Hamden CT 06517-2232
Phone: (888) 754-0398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1197 | Connecticut |
Profile Details
| NPI number | 1538758032 |
|---|---|
| LBN Legal business name | Hugaboom, Jacob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2021 |
| Last updated | Apr 24th, 2023 - 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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