Individual
MRS. STEPHANIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
272 N BROADWAY ST STE 101, TOOELE, UT 84074-2244
(801) 771-0273
Mailing address
2985 N 935 E, STE 7, LAYTON, UT 84040-7308
(801) 771-0273
(801) 771-0273
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
9601732
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/10/2016
Last updated
03/29/2023
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