MEDICARE: JACOB D LAFRAMBOISE MAED, BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	LBA0709	MN
2	103K00000X	Behavior Analyst	299591	KY
3	103K00000X	Behavior Analyst	COBA.01543	OH
4	103K00000X	Behavior Analyst	0133004071	VA
5	103K00000X	Behavior Analyst	1406-140	WI

General Provider Information

NPI Number	:	1952163727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB D LAFRAMBOISE MAED, BCBA

Provider Business Mailing Address
First Line	:	1402 NEFF AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45204-1720
Country	:	US
Telephone Number	:	859-474-0086
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 NEFF AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45204-1720
Country	:	US
Telephone Number	:	859-474-0086
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2024
Last Update Date	:	04/30/2026

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