Individual
JULIE MOOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3773 W 12600 S, RIVERTON, UT 84065-5577
(801) 285-2400
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11044855-2506
UT
Other
Enumeration date
10/27/2016
Last updated
08/14/2025
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