Individual
JERIANNE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
150 E 400 N STE 100, SALEM, UT 84653-8300
(801) 696-9779
(385) 999-6822
Mailing address
150 E 400 N STE 100, SALEM, UT 84653-8300
(801) 696-9779
(385) 999-6822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11008486-2507
UT
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/02/2018
Last updated
03/11/2026
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