Individual
KENZIE CIERRA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11721 S 1220 W, RIVERTON, UT 84065-4109
(801) 903-3437
Mailing address
11721 S 1220 W, RIVERTON, UT 84065-4109
(801) 903-3437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/22/2020
Last updated
08/02/2024
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