Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Evertsen, BEHAVIORTECHNICIAN

Individual provider Behavior Technician · NPI 1033782016

Jacob Evertsen, BEHAVIORTECHNICIAN is a Behavior Technician in Salt Lake City, Utah. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

515 S 700 E Ste 2A
Salt Lake City, UT 84102-2855
Phone: (801) 935-4171
Fax: (801) 935-4946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1033782016
Entity typeIndividual (Type 1)
GenderMale
Credentials BEHAVIORTECHNICIAN
Sole proprietorYes
NPI enumeratedJuly 19, 2021
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021

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