Melissa Grace Tait

NPI #1093359168 in Draper, Utah

Provider Information

NPI Number: 1093359168
Entity Type: Individual
Name: Melissa Grace Tait
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 1, 2019
Last Updated: Nov 1, 2019

Practice Location

Address: 12637 S 265 W
City: Draper
State: Utah
ZIP Code: 84020-5400
Phone: (801) 998-8428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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