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Miriam Trujillo

Behavior Technician in South Jordan, UT. Individual provider (NPI-1).

NPI number1124516059
StatusActive
Last updated in NPPESApr 26, 2018

Details

NPI
1124516059
Entity type
Individual (NPI-1)
Name
Miriam Trujillo
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 26, 2018
Last updated
Apr 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4062 W Shady Plum Way
South Jordan, UT 84009-3908

Phone 801-987-3592

Mailing address

4062 W Shady Plum Way
South Jordan, UT 84009-3908

Phone 801-987-3592

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