Individual
JAKE LANE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 E 400 N, SALEM, UT 84653-9365
(801) 696-9779
Mailing address
150 E 400 N, SALEM, UT 84653-9365
(801) 696-9779
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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