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Contact Information

JACOB J MAHON, PHD; BCBA-D
1744 E MCANDREWS RD STE B
MEDFORD, OR97504-5576
 Phone: 541-654-1776
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JACOB J MAHON · (Male)

NPI Number 1912143306
Status Active
Credentials PHD; BCBA-D
Entity Individual
Enumeration date 01/06/2009
Last updated 08/16/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 3067
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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