Jentrie Tessa Allred

NPI #1578097507 in Provo, Utah

Provider Information

NPI Number: 1578097507
Entity Type: Individual
Name: Jentrie Tessa Allred
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 17, 2017
Last Updated: Jun 8, 2018

Practice Location

Address: 750 N FREEDOM BLVD
City: Provo
State: Utah
ZIP Code: 84601
Phone: (801) 373-4760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Behavior Technician	106S00000X	Primary

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