D'Agostini, Jaimie

D'Agostini, Jaimie is an individual health care provider with primary practice located at 475 W 260 N , Orem UT 84057-1970. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. D'Agostini, Jaimie can be contacted via phone (801) 221-9930.

Contact Information

Primary practice address
475 W 260 N Orem UT 84057-1970
Phone: (801) 221-9930
Fax: (801) 221-0649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1578919056
LBN Legal business name D'Agostini, Jaimie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2016
Last updated May 13th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578919056 NPPES
Utah MEDICAID 1396085718

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