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Victoria Wilson

Behavior Technician in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1164097028
StatusActive
Last updated in NPPESMay 24, 2021

Details

NPI
1164097028
Entity type
Individual (NPI-1)
Name
Victoria Wilson
Sex
Female
Sole proprietor
No
Enumeration date
May 24, 2021
Certification date
May 24, 2021
Last updated
May 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–UTYes

Practice location

515 S 700 E Ste 2a
Salt Lake City, UT 84102-2855

Phone 801-935-4171 · Fax 801-935-4946

Mailing address

1190 E 1150 S
Clearfield, UT 84015-1352

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