Individual
JENNIFER ANGLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5027 S 2575 W, ROY, UT 84067-1707
(877) 584-6227
(808) 356-1310
Mailing address
90 W 500 S # 413, BOUNTIFUL, UT 84010-6230
(877) 584-6227
(808) 356-1310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-243585
UT
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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