JACOB ERIC FOSSUM
NPI 1043130305
Behavior Technician in Sandy, UT
About Jacob Eric Fossum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB ERIC FOSSUM (NPI 1043130305) is an individual behavior technician in Sandy, Utah and active in the NPI registry since July 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob Fossum's NPI number?
The NPI number for Jacob Fossum is 1043130305. It was assigned to this individual provider in the NPPES registry on July 17, 2026.
Where is Jacob Fossum located?
Jacob Fossum practices at 8031 S 700 E, Sandy, UT 84070. The listed phone number is (877) 222-4621.
What is Jacob Fossum's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Jacob Fossum was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.