Individual
AMY COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12637 S 265 W STE 300, DRAPER, UT 84020-5403
(801) 998-8428
(801) 407-1611
Mailing address
243 E 400 S, SALT LAKE CITY, UT 84111-2838
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
04/24/2023
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