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Individual

JEAN RODRIGUEZ REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED BEHAVIOR

Contact information

Practice address
5974 FASHION POINT DR STE 100, SOUTH OGDEN, UT 84403-4840
(801) 655-4950
Mailing address
1177 N 150 W, LAYTON, UT 84041-5829
(385) 319-0395

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-34886
UT

Other

Enumeration date
06/12/2017
Last updated
03/06/2020
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