Individual
EMONIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2880 W 4700 S # B4, TAYLORSVILLE, UT 84129-2156
(385) 775-0777
Mailing address
2880 W 4700 S # B4, TAYLORSVILLE, UT 84129-2156
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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