Individual
SHAMI NICCOLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 W 3900 S, SALT LAKE CTY, UT 84107-1431
(801) 587-2370
Mailing address
51 W 3900 S, SALT LAKE CTY, UT 84107-1431
(801) 587-2370
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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