Individual
ELSA REYES-SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-4247
Mailing address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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