Individual
ALANNA MARIE MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 WEST 1130 SOUTH, B, OREM, UT 84058
(801) 935-4946
Mailing address
956 N 75 E, OREM, UT 84057-3248
(443) 698-8474
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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