Ivy Lee, RBT

NPI #1598489197 in Slc, Utah

Provider Information

NPI Number: 1598489197
Entity Type: Individual
Name: Ivy Lee, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Sep 28, 2022
Last Updated: Sep 28, 2022

Practice Location

Address: 3006 S HIGHLAND DR STE 210
City: Slc
State: Utah
ZIP Code: 84106-6004
Phone: (801) 647-3920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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