Individual
JENNIFER STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12222 S 1000 E STE 3, DRAPER, UT 84020-3203
(801) 987-3592
Mailing address
12222 S 1000 E STE 3, DRAPER, UT 84020-3203
(801) 987-3592
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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