Individual
AZRA HELAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
Mailing address
525 S 900 E APT B1, SALT LAKE CITY, UT 84102-2968
(801) 529-3469
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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