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Individual

JACOB LOFTUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
3006 S HIGHLAND DR STE 210, SLC, UT 84106-6004
(801) 647-3920
(801) 931-2607
Mailing address
3006 S HIGHLAND DR STE 210, SLC, UT 84106-6004
(801) 647-3920
(801) 931-2607

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT23260738
UT

Other

Enumeration date
03/02/2023
Last updated
03/02/2023
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