Individual
JAYCIE LYNNE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 84121-3060
(281) 925-7724
Mailing address
552 W 200 N, SMITHFIELD, UT 84335-6606
(208) 851-8618
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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