Provider Demographics
NPI:1518733559
Name:REEB, JACOB ABRAM
Entity Type:Individual
Prefix:MR
First Name:JACOB
Middle Name:ABRAM
Last Name:REEB
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 523
Mailing Address - Street 2:
Mailing Address - City:GNADENHUTTEN
Mailing Address - State:OH
Mailing Address - Zip Code:44629-0523
Mailing Address - Country:US
Mailing Address - Phone:724-562-4800
Mailing Address - Fax:
Practice Address - Street 1:203 NORTH CHERRY ST.
Practice Address - Street 2:
Practice Address - City:GNADENHUTTEN
Practice Address - State:OH
Practice Address - Zip Code:44629-0523
Practice Address - Country:US
Practice Address - Phone:724-562-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician