Individual
ELIZABETH GUDIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12222 S 1000 E STE 4, DRAPER, UT 84020-3203
(801) 471-6361
(801) 753-0397
Mailing address
11506 S WATERSIDE RD, SOUTH JORDAN, UT 84095-7937
(801) 471-6361
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-9529
CA
103K00000X
Behavior Analyst
12215360-2506
UT
Other
Enumeration date
11/10/2016
Last updated
11/02/2021
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