Individual
JASON REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
348 E 600 S, ST GEORGE, UT 84770-3949
(435) 705-7574
Mailing address
348 E 600 S, ST GEORGE, UT 84770-3949
(435) 705-7574
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
RBT-22-208495
UT
Other
Enumeration date
05/01/2019
Last updated
12/01/2023
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