Individual
JULIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2811 N 2350 W, FARR WEST, UT 84404-5177
(801) 452-1940
Mailing address
3950 W 4100 S, WEST HAVEN, UT 84401-8815
(385) 446-0733
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10654589-2506
UT
103K00000X
Behavior Analyst
1065489-2506
UT
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/18/2016
Last updated
07/02/2024
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