Individual
SERENA SELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 4500 S STE F220, SALT LAKE CITY, UT 84107-3150
(801) 564-1748
Mailing address
12424 S MOSSBERG DR, HERRIMAN, UT 84096-7784
(801) 864-9727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12472312
—
Other
Enumeration date
06/22/2020
Last updated
04/08/2024
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