Individual
KACY RODAMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12272 S 800 E, DRAPER, UT 84020-9789
(435) 797-4200
Mailing address
919 CALLIE CT, NORTH SALT LAKE, UT 84054-0165
(612) 619-2350
(801) 753-0744
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
14203521-2506
UT
Other
Enumeration date
07/06/2023
Last updated
05/28/2025
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