Individual
AVERY HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
857 E 200 S, SALT LAKE CITY, UT 84102-2317
(801) 487-3276
Mailing address
2587 W 1950 N, CLINTON, UT 84015-8491
(435) 690-9279
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47656
UT
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
12/19/2016
Last updated
05/27/2025
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