Individual
JILLIAN MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1441 E FT UNION BLVD, COTTONWOOD HEIGHTS, UT 84121-2847
(385) 695-2203
Mailing address
581 E BRIARSPRINGS CIR # 4, MIDVALE, UT 84047-2782
(801) 560-1227
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12248745-2506
UT
251S00000X
Community/Behavioral Health Agency
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Other
Enumeration date
08/24/2016
Last updated
09/03/2024
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