Jacob Eric Fossum
Jacob Eric Fossum is a Behavior Technician in Sandy, Utah. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
8031 S 700 ESandy, UT 84070-0555
Phone: (877) 222-4621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1043130305 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 17, 2026 |
| Last updated in NPPES | July 17, 2026 |
| Certification date | July 17, 2026 |
| Mailing address | 8031 S 700 E, Sandy, UT 84070-0555 |
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