Individual
JACOB CRAIG CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1253 E 200 S, SALT LAKE CITY, UT 84102-2601
(801) 888-5760
Mailing address
9270 S GLENN ABBEY WAY, SANDY, UT 84093-3823
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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