Individual
ACE DERICK ESPINOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 S 700 E UNIT 4321, SALT LAKE CITY, UT 84102-3886
(862) 505-9651
Mailing address
455 S 700 E UNIT 4321, SALT LAKE CITY, UT 84102-3886
(862) 505-9651
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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