Individual
JEANELLE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
(801) 935-4946
Mailing address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
(801) 935-4946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-14505
CA
103K00000X
Behavior Analyst
Primary
11703538-2506
UT
103K00000X
Behavior Analyst
11703583-2506
UT
Other
Enumeration date
12/20/2013
Last updated
04/17/2020
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