Individual
ELLIE MEDLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 S 50 W, BOUNTIFUL, UT 84010-5559
(801) 548-3091
(801) 992-7150
Mailing address
2025 S 50 W, BOUNTIFUL, UT 84010-5559
(801) 548-3091
(801) 992-7150
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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