Individual
BETHANY ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
570 N ALLANWOOD PL, LAYTON, UT 84040-3400
(801) 589-3586
Mailing address
570 N ALLANWOOD PL, LAYTON, UT 84040-3400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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