Individual
JACOY SKOUGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 E 2150 NORTH CIR, CEDAR CITY, UT 84721-9388
(435) 592-4216
Mailing address
351 E 2150 NORTH CIR, CEDAR CITY, UT 84721-9388
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
08/27/2015
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