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Individual

JESSE YARGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3950 W 4100 S, WEST HAVEN, UT 84401-8815
(385) 321-7880
Mailing address
668 N STONNE LN, KAYSVILLE, UT 84037-1188
(385) 321-7880

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
9550469-2506
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1132
DEPARTMENT OF PUBLIC HEALTH
CT
01
32891472
INTERNATIONAL BEHAVIOR ANALYSIS ORGANIZATION
01
9550469-2506
DEPARTMENT OF OCCUPATIONAL AND PROFESSIONAL LICENSING
UT
01
LBA0556
AGING AND DISABILITY SERVICES DIVISION
NV
Enumeration date
10/15/2015
Last updated
06/13/2022
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