Individual
MADISON SPENDLOVE BODILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 N CHURCH ST STE 303, LAYTON, UT 84040-6617
(801) 935-4171
Mailing address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
11506292-2507
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/29/2017
Last updated
11/27/2019
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