Individual
TEVITA ANITONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 W 3900 S, SALT LAKE CITY, UT 84107-1431
(801) 587-2375
Mailing address
3744 W 12180 S, RIVERTON, UT 84065-7644
(801) 448-8623
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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