Individual
JAISHA REBECCA SEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 W. 1130 S., BUILDING B, OREM, UT 84058-2888
(801) 935-4171
(801) 935-4946
Mailing address
1849 N FREEDOM BLVD APT 138, PROVO, UT 84604-1527
(385) 404-9334
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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