Individual
MS. BERGEN EMILY MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E, SLC, UT 84102-2801
(800) 434-8923
Mailing address
1773 E MILLCREEK WAY, SLC, UT 84106-3219
(801) 560-5461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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