Individual
CHANEL NACUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14752 S BLUE SKYE CT, DRAPER, UT 84020-5634
(702) 330-7762
Mailing address
14752 S BLUE SKYE CT, DRAPER, UT 84020-5634
(702) 330-7762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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