Kandace Jacobs-Peterson

NPI #1255043337 in Richfield, Utah

Provider Information

NPI Number: 1255043337
Entity Type: Individual
Name: Kandace Jacobs-Peterson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 20, 2022
Last Updated: Dec 20, 2022

Practice Location

Address: 60 E 100 N
City: Richfield
State: Utah
ZIP Code: 84701-2694
Phone: (801) 255-5131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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