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

Madison Mariah Jacobs

Individual provider Behavior Technician · NPI 1649806340

Madison Mariah Jacobs is a Behavior Technician in Bountiful, Utah. Works from 3 locations. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

415 Medical Dr Ste D101
Bountiful, UT 84010-8905
Phone: (801) 683-1062
Fax: (801) 295-5537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 327 W Gordon Ave Ste 2, Layton, UT 84041-2381 — (801) 683-1062
  • 370 E South Temple Ste 175, Salt Lake City, UT 84111-1241 — (801) 683-1062

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1649806340
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 13, 2020
Last updated in NPPESMarch 13, 2020
Certification dateMarch 13, 2020
Mailing address415 Medical Dr Ste D101, Bountiful, UT 84010-8905

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