Individual
JACOB HILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
2940 N CHURCH ST STE 204, LAYTON, UT 84040-6616
(208) 821-7770
Mailing address
1830 S 875 E, CLEARFIELD, UT 84015-6264
(208) 821-7770
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12379614-2506
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12379614-2506
LICENSE NUMBER
UT
Enumeration date
07/19/2021
Last updated
05/11/2022
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