Jethro Davis

NPI #1003586041 in Cottonwood Heights, Utah

Provider Information

NPI Number
1003586041
Entity Type
Individual
Name
Jethro Davis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Sep 20, 2021
Last Updated
Sep 20, 2021

Practice Location

Address
6910 S HIGHLAND DR STE 1
State
Utah
ZIP Code
84121-3061
Phone
(801) 935-4171

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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