Individual
ELIZABETH ODUNTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 S HIGHLAND DR STE 1, SALT LAKE CITY, UT 84121-3061
(801) 410-3436
Mailing address
2760 S CENTERBROOK DR, WEST VALLEY CITY, UT 84119-1678
(801) 410-3436
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-401542
UT
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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