Individual
JENNIFER ANDREA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 E 2985 N, LAYTON, UT 84040
(801) 771-0273
Mailing address
326 CHILDS AVE, OGDEN, UT 84404-4288
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-106500
UT
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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