Individual
CALLISSA CANDALOT MANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3442 S 4300 W, WEST VALLEY CITY, UT 84120-1816
(801) 541-0283
Mailing address
3442 S 4300 W, WEST VALLEY CITY, UT 84120-1816
(801) 541-0283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
14224191-2506
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/08/2020
Last updated
05/20/2025
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