Jenissa Nichols

NPI #1407259005 in Orem, Utah

Provider Information

NPI Number: 1407259005
Entity Type: Individual
Name: Jenissa Nichols
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 27, 2014
Last Updated: Feb 21, 2020

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X
Behavior Analyst	103K00000X	Primary

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