Jackie Fossum
Jackie Fossum is a Behavior Technician in St George, Utah. Practices as a sole proprietor. Licensed in South Dakota.
- Licensed in
- SD
- In the registry since
- 2026
Practice location Address checks out
410 E Tabernacle StSt George, UT 84770-2940
Phone: (435) 767-7929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (SD) |
|---|
Record details
| NPI number | 1215851027 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 5, 2026 |
| Last updated in NPPES | August 5, 2026 |
| Certification date | August 5, 2026 |
| Mailing address | 410 E Tabernacle St, St George, UT 84770-2940 |
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410 E Tabernacle St, St George, UT 84770-2940 · (435) 767-7929