Individual
JAYDYNN CUSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
692 S 2800 W UNIT I 101, SPRINGVILLE, UT 84663
(801) 668-2443
Mailing address
692 S 2800 W UNIT I101, SPRINGVILLE, UT 84663
(801) 668-2443
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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