Individual
MISS DUSTI LYN DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 W BROADWAY STE BROADWAY, SALT LAKE CITY, UT 84101-2002
(385) 494-3500
(385) 494-3503
Mailing address
635 E 600 S, PRICE, UT 84501-3304
(435) 650-7684
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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