Individual
JONATHAN WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2376 RED CLIFFS DR, SAINT GEORGE, UT 84790-8367
(801) 935-4171
Mailing address
16255 VENTURA BLVD STE 900, ENCINO, CA 91436-2317
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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