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Individual

RAFAEL A OCHOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12140071-2506
UT
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396085718
UT
Enumeration date
02/01/2018
Last updated
02/05/2021
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