Samantha Utter

NPI #1902469372 in Bradley, Illinois

Provider Information

NPI Number: 1902469372
Entity Type: Individual
Name: Samantha Utter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 20, 2019
Last Updated: Apr 20, 2019

Practice Location

Address: 197 S PRAIRIE AVE
City: Bradley
State: Illinois
ZIP Code: 60915-2035
Phone: (815) 592-5705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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