Individual
HEATHER RAE POFFENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 E 2985 N, LAYTON, UT 84040
(801) 771-0273
Mailing address
752 S 1100 W, CLEARFIELD, UT 84015-9082
(801) 317-6721
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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