Makenna R Childs

NPI #1659913325 in Pleasant Grove, Utah

Provider Information

NPI Number: 1659913325
Entity Type: Individual
Name: Makenna R Childs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 14, 2019
Last Updated: Oct 14, 2019

Practice Location

Address: 867 S 800 W
City: Pleasant Grove
State: Utah
ZIP Code: 84062-4505
Phone: (801) 935-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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