Individual
AMANDA WIDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 S HIGHLAND DR STE 1, COTTONWOOD HEIGHTS, UT 84121-3061
(800) 434-8923
Mailing address
8814 S ALTA CANYON DR, SANDY, UT 84093-1953
(847) 636-6783
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/15/2019
Last updated
08/10/2021
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