Individual
JESSICA WHITEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2811 N 2350 W, FARR WEST, UT 84404-5177
(801) 872-8757
Mailing address
4951 S MURRAY BLVD APT P34, MURRAY, UT 84123-2725
(385) 495-5032
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB511198
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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