Individual
ALIVIA LEE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 84121-3060
(000) 000-0000
Mailing address
1816 N 2530 W, CLINTON, UT 84015-8487
(303) 506-4058
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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