Candice R Nerveza
Behavior Analyst in Bountiful, UT. Individual provider (NPI-1).
NPI number1669984191
StatusActive
Last updated in NPPESDec 26, 2019
Details
- NPI
- 1669984191
- Entity type
- Individual (NPI-1)
- Name
- Candice R Nerveza
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2017
- Certification date
- Dec 26, 2019
- Last updated
- Dec 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 11939539 | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
415 Medical Dr Ste D101Bountiful, UT 84010-8905
Phone 801-683-1062
Mailing address
17 Poni Moi PlHilo, HI 96720-1739
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