Individual
DAMEN JAY SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14301 FNB PKWY STE 100, OMAHA, NE 68154-7200
(402) 807-7447
Mailing address
226 S MARBLE CANYON DR, CEDAR CITY, UT 84720-6713
(435) 383-3298
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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