Individual
AMANDA KAUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1785 W 7888 S, WEST JORDAN, UT 84088-4024
(801) 784-2914
Mailing address
11328 S OLD BRIDGE RD, SOUTH JORDAN, UT 84009-1273
(219) 916-0325
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12052694-2506
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/11/2017
Last updated
03/04/2021
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