Individual
KARLA JEAN FACKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1228 S 900 E, SALT LAKE CITY, UT 84105-1326
(888) 949-4864
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-6490
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
UT
171M00000X
Case Manager/Care Coordinator
Primary
F25-120953
UT
Other
Enumeration date
12/08/2020
Last updated
10/03/2025
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