Individual
ALISSA BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
349 12TH ST, OGDEN, UT 84404-5712
(801) 335-9382
Mailing address
349 12TH ST, OGDEN, UT 84404-5712
(801) 335-9382
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/02/2016
Last updated
07/31/2026
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