Individual
JACOB HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
365 W 50 N STE W8, VERNAL, UT 84078-2010
(435) 790-2757
(435) 789-4045
Mailing address
365 W 50 N STE W8, VERNAL, UT 84078-2010
(435) 790-2757
(435) 789-4045
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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