Individual
RACHAEL DENISE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3794 W 5675 S, ROY, UT 84067-8151
(801) 985-6065
Mailing address
3794 W 5675 S, ROY, UT 84067-8151
(801) 985-6065
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
03/06/2014
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