Individual
AMAYA HUDGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 W 1130 S, STE B, SALT LAKE, UT 84058
(801) 935-4171
Mailing address
515 S 700 E STE A, SALT LAKE CITY, UT 84102-2801
(801) 935-4171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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