Individual
AMANDA NICHOLE LOMELI AGUDA
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
(704) 780-4271
Mailing address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84178
UT
Other
Enumeration date
03/03/2022
Last updated
09/15/2025
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