EMILEE JACKSON
Behavior Technician
Active
Individual
NPI: 1104623628
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | - |
Frequently Asked Questions
NPI 1104623628 is the National Provider Identifier for EMILEE JACKSON, a Behavior Technician provider located in Provo, UT. This NPI was enumerated on March 3, 2025.
EMILEE JACKSON practices at 585 E LAKEVIEW PKWY BLDG 6, Provo, UT 84606.
Quick Facts
- NPI
- 1104623628
- Type
- Individual
- Enumerated
- Mar 3, 2025
- Last Updated
- Mar 3, 2025
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