Kristy Mae Whitaker

NPI #1134636061 in Herriman, Utah

Provider Information

NPI Number: 1134636061
Entity Type: Individual
Name: Kristy Mae Whitaker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 31, 2017
Last Updated: Dec 31, 2017

Practice Location

Address: 13947 S NEWBURG DR
City: Herriman
State: Utah
ZIP Code: 84096-6787
Phone: (801) 506-6695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Behavior Technician	106S00000X	Primary

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