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Dr. Jacob Richard Petway, DC,QME,IIE,BS
Chiropractor in Sacramento, California
NPI 1871938217

Jacob Richard Petway is a Chiropractor based in Sacramento, CA. Jacob Richard Petway practices in Sacramento, CA and has the professional credentials of DC,QME,IIE,BS. The NPI Number for Jacob Richard Petway is 1871938217 and holds a License No. (California).

The current practice location address for Jacob Richard Petway is 929 Azusa St, Sacramento, CA and can be reached out via phone at 530-315-5594.

Location: 929 Azusa St, Sacramento, CA, 95833-2328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871938217
Provider Name
Jacob Richard Petway
Credential
DC,QME,IIE,BS
Provider Entity Type
Individual
Gender
Male
Address
929 Azusa St, Sacramento, CA, 95833-2328
Phone Number
530-315-5594
Fax Number
Provider Enumeration Date
04/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
929 Azusa St
City
Sacramento
State
California
Zip
95833-2328
Phone Number
530-315-5594
Fax Number
person
Provider Business Mailing Address Details
Address
929 Azusa St
City
Sacramento
State
California
Zip
95833-2328
Phone Number
530-315-5594
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
32615 (California)
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
person
Provider's Taxonomy Details 2
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
()
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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