Individual
JESSICA SURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 N MALL DR STE E102, SAINT GEORGE, UT 84790-7305
(435) 313-4571
Mailing address
321 N MALL DR STE E102, SAINT GEORGE, UT 84790-7305
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-37213
UT
106S00000X
Behavior Technician
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—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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