Individual
JESSIKA SCHMID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 W 465 N STE 120, PROVIDENCE, UT 84332-5604
(801) 574-8242
Mailing address
1443 W 800 N STE 103, OREM, UT 84057-2878
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
14213185-2506
UT
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/08/2022
Last updated
03/26/2025
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