Kassia Khountham

NPI #1053112987 in Provo, Utah

Provider Information

NPI Number: 1053112987
Entity Type: Individual
Name: Kassia Khountham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 24, 2025
Last Updated: Mar 24, 2025

Practice Location

Address: 585 LAKEVIEW PKWY
Address 2: BDLG 6
City: Provo
State: Utah
ZIP Code: 84606
Phone: (801) 935-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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