Individual
JORDEN HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
744 E 400 S STE B, SALT LAKE CITY, UT 84102-2902
(801) 477-5177
Mailing address
3146 W BENNION CIR, TAYLORSVILLE, UT 84129-2601
(801) 505-2781
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-297862
UT
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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