Camilla Ingraham

NPI #1013765551 in Taylorsville, Utah

Provider Information

NPI Number: 1013765551
Entity Type: Individual
Name: Camilla Ingraham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 9, 2024
Last Updated: May 9, 2024

Practice Location

Address: 5558 S 1900 W
City: Taylorsville
State: Utah
ZIP Code: 84129-9007
Phone: (801) 255-5131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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