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NPI #1225406051 in South Weber, Utah

Provider Information

NPI Number
1225406051
Entity Type
Organization
Organization Name
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Primary Specialty
Behavior Analyst
Enumeration Date
Sep 10, 2015
Last Updated
Mar 12, 2016

Practice Location

Address
7456 S 1740 E
State
Utah
ZIP Code
84405-6636
Phone
(801) 923-8773

Authorized Official

Name
MRS. SHANDRA KAYE PIPKIN, M.ED., BCBA
Title
OWNER/CEO
Phone
(801) 923-8773

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Behavior Analyst

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