Individual
SAMANTHA NICOLE POSTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3826 E CLUBHOUSE LN, EAGLE MOUNTAIN, UT 84005-6023
(801) 735-6674
Mailing address
3826 E CLUBHOUSE LN, EAGLE MOUNTAIN, UT 84005-6023
(801) 735-6674
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0410183366
—
UT
Enumeration date
07/07/2022
Last updated
07/07/2022
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