Individual
STEPHANIE M GOOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
(801) 935-4946
Mailing address
1375 E 8085 S, SANDY, UT 84093-6627
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
UT
106S00000X
Behavior Technician
—
UT
Other
Enumeration date
09/02/2021
Last updated
10/06/2023
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