Individual
ELIZABETH TERESA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 W 900 N, OREM, UT 84057-3142
(949) 939-8864
Mailing address
17 W 900 N, OREM, UT 84057-3142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-424286
UT
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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