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Individual

JENNIFER CORNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LCSW

Contact information

Practice address
489 W SOUTH JORDAN PKWY STE 229, SOUTH JORDAN, UT 84095-3979
(385) 220-7867
(385) 900-1610
Mailing address
489 W SOUTH JORDAN PKWY STE 229, SOUTH JORDAN, UT 84095-3979
(385) 220-7867
(385) 900-1610

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-13621
1041C0700X
Clinical Social Worker
Primary
7606069-3501
UT

Other

Enumeration date
01/30/2014
Last updated
12/28/2022
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