Individual
JACOB KASTLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, RBT
Contact information
Practice address
1111 S 1350 W, OREM, UT 84058-3817
(801) 935-4171
Mailing address
415 N 300 W APT 7, PROVO, UT 84601-6733
(801) 615-3055
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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