Female

Shanna L. Jacobs

Behavioral Analyst in Yakima, WA(View on Map)

Full Name

Shanna Leigh Jacobs

NPI Number

1437656816

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/11/2018

Specialties

(Taxonomies)

Code

103K00000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

BA61367618

Contact
Information

Purpose

Mailing
Location

Address

3801 KERN WAY
3801 KERN WAY

City

Yakima
Yakima

State

WA
WA

Postal Code

98902-6340
98902-6340

Country

US
US

Telephone Number

(509) 574-3200
(509) 574-3200

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

jshanna40954@yvfwc.direct-ci.com

Endpoint Description

YVFWC Direct Email Address

Use

Direct

Content Type

Other

Other Description:
CCDA

Affiliation

N

Endpoint Location

3801 Kern WayYakima, WA989026340US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/02/2024

Provider Address

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