Individual
REBECCA RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 W 5150 S, ROY, UT 84067-3060
(801) 255-5131
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11803307-2506
UT
Other
Enumeration date
09/11/2018
Last updated
05/19/2022
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