Individual
JAYMEN ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3310 S 3200 W, WEST VALLEY CITY, UT 84119-2626
(801) 885-4917
Mailing address
9 CHESAPEAKE PLZ, CHESAPEAKE, OH 45619-1003
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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