Individual
ELAYNA MAY VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 S 1350 W BLDG B, OREM, UT 84058-3817
(801) 935-4171
Mailing address
3844 W JORDAN VIEW DR, LEHI, UT 84043-6626
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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