Jessica Jolley Mecklenburg, RBT
NPI #1205492543 in Providence, Utah
Provider Information
- NPI Number
- 1205492543
- Entity Type
- Individual
- Name
- Jessica Jolley Mecklenburg, RBT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Credential
- RBT
- Enumeration Date
- May 13, 2019
- Last Updated
- May 13, 2019
Practice Location
- Address
- 545 W 465 N STE 100
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-8004
- Phone
- (435) 753-6606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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