Jacoby, Alisha Anne
Jacoby, Alisha Anne is an individual health care provider with primary practice located at 731 Bielenberg Dr Ste 102 , Woodbury MN 55125-1701. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jacoby, Alisha Anne can be contacted via phone (612) 445-8327.Contact Information
Primary practice address
731 Bielenberg Dr Ste 102
Woodbury MN 55125-1701
Phone: (612) 445-8327
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-17-25602 | Minnesota |
Profile Details
| NPI number | 1013409895 |
|---|---|
| LBN Legal business name | Jacoby, Alisha Anne |
| Credentials | M.ED, BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2018 |
| Last updated | Dec 7th, 2021 - about 5 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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