MRS. Abby Grace Larsen

NPI #1134710064 in Pleasant Grove, Utah

Provider Information

NPI Number: 1134710064
Entity Type: Individual
Name: MRS. Abby Grace Larsen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 2, 2021
Last Updated: Feb 2, 2021

Practice Location

Address: 533 W STATE RD STE 103
City: Pleasant Grove
State: Utah
ZIP Code: 84062-2114
Phone: (801) 506-6695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Behavior Technician	106S00000X	Primary

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