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Individual

HANNAH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
515 S 700 E # 2, SALT LAKE CITY, UT 84102-2801
(800) 434-8923
Mailing address
515 S 700 E # 2, SALT LAKE CITY, UT 84102-2801
(800) 434-8923

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396085718
UT
Enumeration date
11/04/2016
Last updated
09/23/2020
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