Individual
JESSIE HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 S 190 W, OREM, UT 84058-6829
(435) 830-9192
Mailing address
925 S 190 W, OREM, UT 84058-6829
(435) 830-9192
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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