Individual
JENNIFER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1293 W HIGHWAY 40 STE 2, VERNAL, UT 84078-2923
(435) 789-2588
Mailing address
1094 W 2500 S, VERNAL, UT 84078-4658
(435) 790-2588
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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