Angela Diantha Blackburn Watson

NPI #1922632629 in Riverton, Utah

Provider Information

NPI Number: 1922632629
Entity Type: Individual
Name: Angela Diantha Blackburn Watson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 3, 2020
Last Updated: Mar 3, 2020

Practice Location

Address: 2845 W 12600 S
City: Riverton
State: Utah
ZIP Code: 84065-7147
Phone: (801) 930-5703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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