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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