Individual
AMANDA GOODLOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2985 N 935 E STE 7, LAYTON, UT 84040-7318
(801) 771-0273
Mailing address
2985 N 935 E STE 7, LAYTON, UT 84040-7318
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50436
UT
106S00000X
Behavior Technician
18-62403
UT
Other
Enumeration date
08/13/2018
Last updated
06/15/2021
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