Individual
MRS. STEPHANIE MARY ANN CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 W 1130 S, BUILDING B, OREM, UT 84058-2888
(801) 935-4171
(801) 935-4946
Mailing address
1140 W 1130 S, BUILDING B, OREM, UT 84058-2888
(801) 935-4171
(801) 935-4946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-24-74338
UT
103K00000X
Behavior Analyst
Primary
14095052-2506
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/17/2020
Last updated
07/29/2024
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