Individual
MAREN FRANCES JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
179 N 1200 E STE 101, LEHI, UT 84043-2148
(801) 935-4171
Mailing address
1806 E MOOR DALE LN, HOLLADAY, UT 84117-6921
(801) 935-4171
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-10027
UT
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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