Individual
JOSIE PROFFIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 700 E, SALT LAKE CITY, UT 84102
(800) 434-8923
Mailing address
142 N 800 W, SALT LAKE CITY, UT 84116-3368
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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