Jessie Heaton

NPI #1184228397 in Orem, Utah

Provider Information

NPI Number: 1184228397
Entity Type: Individual
Name: Jessie Heaton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 28, 2020
Last Updated: Nov 28, 2020

Practice Location

Address: 925 S 190 W
City: Orem
State: Utah
ZIP Code: 84058-6829
Phone: (435) 830-9192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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