Jessica L Infanger
Individual provider Active NPI Behavior Technician · Orem, UT
NPI 1902480940 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1902480940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1140 West 1130 South
B
Orem, UT 84058-2888 - Phone
- (801) 935-4171
- Fax
- (801) 935-4946
- NPI assigned
- May 6, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | UT | Yes |
Addresses
Primary practice location
1140 West 1130 South
B
Orem, UT 84058-2888
Mailing address
3063 E Canyon Glen Loop
Spanish Fork, UT 84660-9358
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.