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Individual

LISA TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
243 E 400 S, SALT LAKE CITY, UT 84111-2838
(801) 647-3920
Mailing address
3330 S 7780 W, MAGNA, UT 84044-2041
(801) 870-0628

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
174400000X
Specialist
Primary

Other

Enumeration date
08/05/2015
Last updated
08/18/2016
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