MISS Khira Anne Thanadabouth

NPI #1487493755 in Morgan, Utah

Provider Information

NPI Number: 1487493755
Entity Type: Individual
Name: MISS Khira Anne Thanadabouth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 24, 2024
Last Updated: May 24, 2024

Practice Location

Address: 874 N SAPPHIRE ST
City: Morgan
State: Utah
ZIP Code: 84050-9917
Phone: (385) 229-2758

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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