Healthcare Provider Details

I. General information

NPI: 1770492696
Provider Name (Legal Business Name): JACY ENGLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 N 400 E STE A105
SAINT GEORGE UT
84770-7192
US

IV. Provider business mailing address

162 N 400 E STE A105
SAINT GEORGE UT
84770-7192
US

V. Phone/Fax

Practice location:
  • Phone: 435-200-9442
  • Fax:
Mailing address:
  • Phone: 307-887-7122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: