Kristy A Jackson

NPI #1033890397 in Orem, Utah

Provider Information

NPI Number: 1033890397
Entity Type: Individual
Name: Kristy A Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 28, 2023
Last Updated: Jul 28, 2023

Practice Location

Address: 475 W 260 N
City: Orem
State: Utah
ZIP Code: 84057-1970
Phone: (801) 221-9930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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