Jaisha Rebecca Sego

NPI #1174172290 in Orem, Utah

Provider Information

NPI Number: 1174172290
Entity Type: Individual
Name: Jaisha Rebecca Sego
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 11, 2019
Last Updated: Sep 11, 2019

Practice Location

Address: 1140 W. 1130 S.
Address 2: BUILDING B
City: Orem
State: Utah
ZIP Code: 84058-2888
Phone: (801) 935-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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