Lydia Woodruff

NPI #1174282966 in Orem, Utah

Provider Information

NPI Number: 1174282966
Entity Type: Individual
Name: Lydia Woodruff
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 9, 2021
Last Updated: Dec 9, 2021

Practice Location

Address: 1140 W 1130 S BUILDING B
City: Orem
State: Utah
ZIP Code: 84058-8405
Phone: (801) 935-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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