Mckinzie Weber

NPI #1265008635 in Providence, Utah

Provider Information

NPI Number: 1265008635
Entity Type: Individual
Name: Mckinzie Weber
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 27, 2021
Last Updated: May 27, 2021

Practice Location

Address: 545 W 465 N STE 100
City: Providence
State: Utah
ZIP Code: 84332-8004
Phone: (801) 604-1455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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