Individual
AMELIE JOY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 84121-3060
(800) 434-8923
Mailing address
2260 S 800 E APT 3, SALT LAKE CITY, UT 84106-1879
(262) 492-9570
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
13561383-2506
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/01/2020
Last updated
08/28/2023
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