Individual
STEPHANIE LEE ODRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
280 W 100 N, VERNAL, UT 84078-2042
(435) 790-4270
Mailing address
HC 67 BOX 31, TRIDELL, UT 84076-9703
(435) 790-4270
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64217
UT
Other
Enumeration date
02/12/2015
Last updated
03/13/2023
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