Individual
ELLIOTT LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1890 W ALEXANDER ST, WEST VALLEY, UT 84119-2037
(208) 908-8923
Mailing address
602 E 600 N, PROVO, UT 84606-1903
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-2828679
UT
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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