Jessie Rosdahl, MS, BCBA, LBA

NPI #1356885552 in Midvale, Utah

Provider Information

NPI Number: 1356885552
Entity Type: Individual
Name: Jessie Rosdahl, MS, BCBA, LBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: MS, BCBA, LBA
Enumeration Date: Dec 7, 2016
Last Updated: Jun 7, 2017

Practice Location

Address: 7434 S STATE ST
City: Midvale
State: Utah
ZIP Code: 84047-2014
Phone: (801) 456-9955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Analyst	103K00000X	Primary

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