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Individual

ROBERTA CARRILLO VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., BCBA

Contact information

Practice address
2825 E COTTONWOOD PKWY, SALT LAKE CITY, UT 84121-7055
(801) 448-6195
Mailing address
2825 E COTTONWOOD PKWY, SALT LAKE CITY, UT 84121-7055
(801) 448-6195

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
14230069-2506
UT

Other

Enumeration date
07/09/2025
Last updated
07/17/2025
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