Carolyn Lisonbee

NPI #1124874771 in Provo, Utah

Provider Information

NPI Number: 1124874771
Entity Type: Individual
Name: Carolyn Lisonbee
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 25, 2024
Last Updated: Apr 25, 2024

Practice Location

Address: 585 E 1860 S BLDG 6
City: Provo
State: Utah
ZIP Code: 84606-7312
Phone: (801) 935-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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