Individual
REBECCA DANIELLE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
209 E GORDON AVE, LAYTON, UT 84041-2341
(801) 317-4367
Mailing address
209 E GORDON AVE, LAYTON, UT 84041-2341
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
12165040-2507
UT
106S00000X
Behavior Technician
RBT-18-56799
UT
Other
Enumeration date
08/28/2018
Last updated
04/13/2021
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