Individual
ALEXANDRA GIVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1488 S GREEN ST APT A, SALT LAKE CITY, UT 84105-2153
(414) 477-9752
Mailing address
1488 S GREEN ST APT A, SALT LAKE CITY, UT 84105-2153
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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