Individual
AMY MELINDA RATHBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
545 W 465 N STE 100, PROVIDENCE, UT 84332-8004
(801) 655-4950
Mailing address
545 W 465 N STE 100, PROVIDENCE, UT 84332-8004
(801) 655-4950
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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