Individual
MRS. ALEATHA CHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 N 900 E, BRIGHAM CITY, UT 84302-2740
(801) 645-7930
Mailing address
136 N 900 E, BRIGHAM CITY, UT 84302-2740
(801) 645-7930
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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