National Provider Identifier Database

HEATHER K JACKSON
Day Training, Developmentally Disabled Services

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.


Contact Information

HEATHER K JACKSON
1200 TOWNE CENTRE BLVD SPC 1142
PROVO, UT84601-2941
Phone: 972-658-4509
Fax:
Website:
Specialty Taxonomy Code
* Day Training, Developmentally Disabled Services 251C00000X

* Indicates primary specialty

NPI Profile & details for HEATHER K JACKSON

NPI Number 1720863764
Credentials
Entity Individual
Enumeration date 08/29/2023
Last updated 08/29/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • UT License #: F23-104260
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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