Individual
KAITLYN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2496 W 4700 S, TAYLORSVILLE, UT 84129-1655
(801) 935-4171
Mailing address
2986 W LEHMAN AVE APT 249, WEST VALLEY CITY, UT 84119-3616
(719) 588-1660
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69711
UT
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G145119
—
CO
Enumeration date
04/30/2021
Last updated
06/09/2025
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