Individual
AMANDA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1776 S WEST TEMPLE, SALT LAKE CITY, UT 84115-1816
(801) 880-5775
Mailing address
1776 S WEST TEMPLE, SALT LAKE CITY, UT 84115-1816
(801) 880-5775
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/09/2025
Last updated
07/21/2026
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