Vivica Denae Willis
NPI #1912891565 in American Fork, Utah
Provider Information
- NPI Number
- 1912891565
- Entity Type
- Individual
- Name
- Vivica Denae Willis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 6, 2025
- Last Updated
- Jun 6, 2025
Practice Location
- Address
- 62 S 360 E
- City
- American Fork
- State
- Utah
- ZIP Code
- 84003-2590
- Phone
- (801) 335-9382
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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