Individual
AMELIA MAREN DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
839 N 700 E APT 1, LOGAN, UT 84321-3568
(208) 539-6835
Mailing address
1392 W TURF FARM WAY STE 1-153, PAYSON, UT 84651-5587
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/31/2024
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