Individual
MRS. AMIE MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
9971 S BORG DR, SANDY, UT 84092-4117
(801) 634-8172
Mailing address
9971 S BORG DR, SANDY, UT 84092-4117
(801) 634-8172
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
9846037-2506
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
NONE
—
Enumeration date
03/27/2016
Last updated
03/08/2021
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