Jacob Evertsen, Behavior Technician
Behavior Technician in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1033782016
StatusActive
Last updated in NPPESJul 19, 2021
Details
- NPI
- 1033782016
- Entity type
- Individual (NPI-1)
- Name
- Jacob Evertsen
- Credential
- Behavior Technician
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2021
- Certification date
- Jul 19, 2021
- Last updated
- Jul 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
515 S 700 E Ste 2aSalt Lake City, UT 84102-2855
Phone 801-935-4171 · Fax 801-935-4946
Mailing address
515 S 700 E Ste 2aSalt Lake City, UT 84102-2855
Phone 801-935-4171 · Fax 801-935-4946
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All 1,258 Behavior Technician providers in Salt Lake City · All 24,510 providers in Salt Lake City
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