Individual
AMELIA COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 N FREEDOM BLVD # 200W, PROVO, UT 84601-1677
(801) 852-4714
Mailing address
419 N 500 E APT 303, PROVO, UT 84606-7529
(989) 600-2775
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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