Individual
ALEXANDRIA KAY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 428-4257
Mailing address
4455 S MUIRFIELD DR APT 11, SALT LAKE CITY, UT 84124-2597
(801) 592-2566
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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