Individual
AUSTIN POMIKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
322 S 150 W, OREM, UT 84058-5435
(801) 554-3820
Mailing address
322 S 150 W, OREM, UT 84058-5435
(801) 554-3820
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-119799
UT
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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