Individual
JACQUELINE JENSEN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1999 W NORTH TEMPLE APT B117, SALT LAKE CITY, UT 84116-3977
(801) 864-4780
Mailing address
1999 W NORTH TEMPLE APT B117, SALT LAKE CITY, UT 84116-3977
(801) 864-4780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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