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

Mrs. Heather Kaye Jackson

Individual provider Developmentally Disabled Services Day Training Agency · NPI 1720863764

Mrs. Heather Kaye Jackson is a Developmentally Disabled Services Day Training Agency in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2023

Practice location Address checks out

1200 Towne Centre Blvd Spc 1142
Provo, UT 84601-2941
Phone: (972) 658-4509
Show map & directions

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

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X · Licence F23-104260 (UT)

Record details

NPI number1720863764
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 29, 2023
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing address312 Meadowlark Dr, Alpine, UT 84004-1371

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