Individual
JENNIFER M DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 N CHURCH ST STE 303, LAYTON, UT 84040-6617
(801) 935-4171
(801) 935-4946
Mailing address
PO BOX 151031, OGDEN, UT 84415-1031
(801) 791-1114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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