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Individual

AMY MARIE HEAPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2007 WEST HEDDING ST SUITE 201, SAN JOSE, CA 95128
(866) 375-2437
Mailing address
882 W FOXBORO DR APT I304, NORTH SALT LAKE, UT 84054-6101
(801) 557-6156

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33365
UT

Other

Enumeration date
01/15/2019
Last updated
01/15/2019
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