Individual
JAZMINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 N 400 E STE A2, ST GEORGE, UT 84770-7123
(435) 767-7929
Mailing address
170 N 400 E STE A2, ST GEORGE, UT 84770-7123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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