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Tad Jacobs
NPI 1104427723 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1250 S 620 W # E1050
Orem, UT 84058 - Phone
- (385) 219-7352
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah