Individual
JACOBY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
NORTH BLDG A, 230 N 1680 E, ST GEORGE, UT 84790
(435) 720-8876
Mailing address
NORTH BLDG A, 230 N 1680 E, ST GEORGE, UT 84790
(435) 720-8876
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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