Individual
EMMA NOELLE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 N 2350 W, FARR WEST, UT 84404-5177
(801) 872-8757
Mailing address
5733 W 10680 N, HIGHLAND, UT 84003-9516
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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