Individual
JANELLE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 E 1050 N, HARRISVILLE, UT 84404-3563
(385) 288-7370
Mailing address
350 E 1050 N, HARRISVILLE, UT 84404-3563
(385) 288-7370
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
13097432-2506
UT
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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