IndividualActive
Melinda Jackson, BT
NPI 1700480910 · Behavior Technician · Cottonwood Heights, UT
Provider details
- NPI number
- 1700480910
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- BT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6910 S Highland Dr # Ut84121
Cottonwood Heights, UT 84121-3060
Phone: (801) 935-4171
Fax: (801) 935-4946
Approximate (ZIP-level) locationGet directions
Mailing address
3930 S Burningham Dr
West Valley City, UT 84119-4726
Registry dates
- Enumerated
- 2020-11-28
- Last updated
- 2020-11-30
- Certified
- 2020-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.