Individual
JESSKA BRUSCINO-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 W GROVE PKWY, PLEASANT GROVE, UT 84062-6739
(385) 548-5779
Mailing address
2015 W GROVE PKWY, PLEASANT GROVE, UT 84062-6739
(385) 548-5779
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
02/23/2026
Last updated
03/06/2026
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