Individual
ANNELY AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 E COTTONWOOD PKWY STE 500, SALT LAKE CITY, UT 84121-7060
(435) 994-7480
Mailing address
2935 W 4600 S, WEST VALLEY CITY, UT 84119-6318
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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