Individual
KATELYN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6033 FASHION POINT DR, SOUTH OGDEN, UT 84403-4847
(801) 549-8821
Mailing address
1105 W RUSSELL ST, SIOUX FALLS, SD 57104-1322
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69903
UT
106S00000X
Behavior Technician
RBT-22-211367
UT
Other
Enumeration date
04/14/2022
Last updated
02/01/2024
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