Individual
KELSEY DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
665 CUTLER DR, NORTH SALT LAKE, UT 84054-2970
(801) 936-0318
Mailing address
13937 S COPPER LEAF DR, HERRIMAN, UT 84096-1263
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
9886304-2506
UT
Other
Enumeration date
04/24/2017
Last updated
04/13/2023
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