Individual
GRETCHEN JANESSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S 1050 W APT 72, PROVO, UT 84601-7047
(714) 402-3558
Mailing address
125 S 1050 W APT 72, PROVO, UT 84601-7047
(714) 402-3558
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
14210924-2506
UT
Other
Enumeration date
06/28/2019
Last updated
03/31/2025
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