Individual
ALYSIA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4062 W SHADY PLUM WAY, SOUTH JORDAN, UT 84009-3908
(801) 987-3592
Mailing address
4062 W SHADY PLUM WAY, SOUTH JORDAN, UT 84009-3908
(801) 987-3592
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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