Individual
AMY SUDBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5160 SUNSET LN, SOUTH OGDEN, UT 84403-4230
(801) 935-5796
Mailing address
5160 SUNSET LN, SOUTH OGDEN, UT 84403-4230
(801) 935-5796
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-12-5214
UT
Other
Enumeration date
07/16/2014
Last updated
02/08/2016
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