Individual
JAIDYN SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 N UNIVERSITY AVE, PROVO, UT 84601-5647
(818) 241-6780
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/25/2021
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