Individual
DIANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1441 E FT UNION BLVD, COTTONWOOD HEIGHTS, UT 84121-2847
(385) 695-2203
Mailing address
253 W DELGADA LN, STANSBURY PARK, UT 84074-4034
(703) 994-3790
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
11/27/2023
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