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Jessica L Infanger

Behavior Technician in Orem, UT. Individual provider (NPI-1).

NPI number1902480940
StatusActive
Last updated in NPPESMay 21, 2021

Details

NPI
1902480940
Entity type
Individual (NPI-1)
Name
Jessica L Infanger
Sex
Female
Sole proprietor
No
Enumeration date
May 6, 2021
Certification date
May 7, 2021
Last updated
May 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–UTYes

Practice location

1140 West 1130 South
B
Orem, UT 84058-2888

Phone 801-935-4171 · Fax 801-935-4946

Mailing address

3063 E Canyon Glen Loop
Spanish Fork, UT 84660-9358

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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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