Individual
JESSICA LYN KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
8031 S 700 E, SANDY, UT 84070-0555
(385) 695-2203
Mailing address
5480 ARDENNES WAY, STANSBURY PARK, UT 84074-8057
(435) 849-0645
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB974958
UT
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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