Individual
CORBYN ELLERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12055 S 700 E, DRAPER, UT 84020-9746
(801) 980-7970
Mailing address
9078 S 220 E, SANDY, UT 84070-2722
(801) 980-7970
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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