Lydia Woodruff
Behavior Technician in Orem, UT. Individual provider (NPI-1).
NPI number1174282966
StatusActive
Last updated in NPPESDec 9, 2021
Details
- NPI
- 1174282966
- Entity type
- Individual (NPI-1)
- Name
- Lydia Woodruff
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2021
- Certification date
- Dec 1, 2021
- Last updated
- Dec 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1140 W 1130 S Building BOrem, UT 84058-8405
Phone 801-935-4171
Mailing address
515 S 700 E Ste 2aSalt Lake City, UT 84102-2855
Phone 801-935-4171
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All 1,302 Behavior Technician providers in Orem · All 3,749 providers in Orem
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