Individual
KYLAN HEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
143 W 450 N, SANTAQUIN, UT 84655-7919
(801) 888-3638
Mailing address
143 W 450 N, SANTAQUIN, UT 84655-7919
(801) 888-3638
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
9529311-250
UT
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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