Individual
AMANDA SHUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 84121-3060
(800) 434-8923
Mailing address
449 S 860 E APT C113, AMERICAN FORK, UT 84003-4108
(985) 991-3886
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
229473350
UT
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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