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Individual

JENNIFER MIGNANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
1438 N HIGHWAY 89 STE 130, FARMINGTON, UT 84025-2737
(801) 549-8821
Mailing address
1105 W RUSSELL ST, SIOUX FALLS, SD 57104-1322

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-232430
UT

Other

Enumeration date
10/31/2022
Last updated
10/31/2022
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