IndividualActive
Eden Jacobs
NPI 1902416092 · Behavior Technician · Palmer, AK
Eden Jacobs is a Behavior Technician provider in Palmer, AK (NPI 1902416092).
Provider details
- NPI number
- 1902416092
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
7335 E Palmer Wasilla Hwy
Palmer, AK 99645-7710
Phone: (907) 745-6200
Fax: (907) 745-6211
Street-level locationGet directions
Mailing address
Po Box 876646
Wasilla, AK 99687-6646
Registry dates
- Enumerated
- 2020-08-04
- Last updated
- 2025-03-10
- Certified
- 2025-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.