Individual
SHANTELL THUESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7733 S REDWOOD RD, WEST JORDAN, UT 84084-5518
(435) 753-6606
Mailing address
446 E 1700 S, BOUNTIFUL, UT 84010-4032
(801) 413-6157
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
13568080-2506
UT
103K00000X
Behavior Analyst
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—
Other
Enumeration date
01/08/2016
Last updated
11/27/2023
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