Individual
ALLIE FAIRBANKS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1443 W 800 N, OREM, UT 84057-2875
(801) 655-4950
Mailing address
1443 W 800 N # 100, OREM, UT 84057-2875
(801) 655-4950
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-439842
UT
Other
Enumeration date
09/05/2020
Last updated
06/06/2025
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