Jacob Craig Chandler
Behavior Technician in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1235738121
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1235738121
- Entity type
- Individual (NPI-1)
- Name
- Jacob Craig Chandler
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2020
- Certification date
- Oct 21, 2020
- Last updated
- Oct 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | UT | Yes |
Practice location
1253 E 200 SSalt Lake City, UT 84102-2601
Phone 801-888-5760
Mailing address
9270 S Glenn Abbey WaySandy, UT 84093-3823
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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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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