Individual
AMY EBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E # 2, SALT LAKE CITY, UT 84102-2801
(385) 625-0019
Mailing address
345 N 750 E, OREM, UT 84097-4934
(385) 625-0019
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/21/2019
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