Individual
MARCELLA JESPERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 W 260 N, OREM, UT 84057-1970
(801) 221-9930
Mailing address
15 E 300 S, LEHI, UT 84043-2130
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
101261582506
UT
Other
Enumeration date
11/01/2016
Last updated
10/26/2017
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