Individual
JANESSA MARIE EVERETT LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12055 S 700 E, DRAPER, UT 84020-9746
(775) 232-1700
Mailing address
1875 S GENEVA RD, OREM, UT 84058-2217
(801) 437-0490
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
8692390-2506
UT
106S00000X
Behavior Technician
—
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Other
Enumeration date
04/01/2021
Last updated
09/23/2024
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