Individual
AUBRIE LEE THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E, SALT LAKE CITY, UT 84102-2801
(509) 964-6138
Mailing address
61 COLUMBIA DR, TOOELE, UT 84074-2413
(509) 964-6138
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THAYEAL103P0
—
WA
Enumeration date
07/01/2019
Last updated
07/01/2019
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