Individual
HANNAH DIANE DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 E FORT UNION BLVD, SALT LAKE CITY, UT 84121-2847
(385) 695-2203
Mailing address
2768 E UPLAND DR, MILLCREEK, UT 84109-3552
(817) 219-7560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-147269
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RBT-20-147269
—
UT
Enumeration date
01/20/2021
Last updated
01/20/2021
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