Individual
RISPAH OTIENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S 1000 W, TOOELE, UT 84074-4010
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, MILLCREEK, UT 84124-3543
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
UT
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
12/28/2022
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