Individual
MS. AMANDA ELIZABETH KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BCBA
Contact information
Practice address
1858 W 5150 S, ROY, UT 84067-3000
(801) 255-5131
Mailing address
6013 S REDWOOD RD, SALT LAKE CITY, UT 84123-5220
(801) 255-5131
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
9497005-2506
UT
1041C0700X
Clinical Social Worker
9497005-3501
UT
106E00000X
Assistant Behavior Analyst
9497005-2507
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104119619
APPLIED BEHAVIOR ANALYST
—
Enumeration date
01/07/2015
Last updated
01/27/2023
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