Individual
MRS. HANNAH NOEL MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
272 N BROADWAY ST, TOOELE, UT 84074-2244
(801) 755-6277
Mailing address
397 E 740 N, TOOELE, UT 84074-3709
(801) 755-6277
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-122778
UT
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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