Individual
LAUREN BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 243-6199
Mailing address
4056 S BOOTHILL DR, WEST VALLEY CITY, UT 84120-4505
(801) 243-6199
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/01/2019
Last updated
04/21/2022
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