Individual
AMY CAROLINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1443 W 800 N STE 103, OREM, UT 84057-2878
(801) 655-4950
Mailing address
5194 W SADDLE PARK DR, WEST JORDAN, UT 84081-3987
(801) 641-8263
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2017
Last updated
06/10/2017
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