Individual
MIKAYLA RAY DRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 W 4100 S, WEST HAVEN, UT 84401-8815
(385) 446-0733
Mailing address
3950 W 4100 S, WEST HAVEN, UT 84401-8815
(385) 446-0733
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
14197740-2506
UT
Other
Enumeration date
12/29/2020
Last updated
01/27/2025
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