Individual
DALLAS TUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR TECH
Contact information
Practice address
5202 FREEWAY PARK DR, RIVERDALE, UT 84405-4016
(801) 255-5131
Mailing address
627 E 4400 S, UNIT A, OGDEN, UT 84403-3846
(801) 255-5131
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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