Mallory Hendrickson
Assistant Behavior Analyst in Orem, UT. Individual provider (NPI-1).
NPI number1801322367
StatusActive
Last updated in NPPESMay 3, 2017
Details
- NPI
- 1801322367
- Entity type
- Individual (NPI-1)
- Name
- Mallory Hendrickson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2017
- Last updated
- May 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | – | – | Yes |
Practice location
744 E 1650 SOrem, UT 84097
Phone 801-946-0059
Mailing address
744 E 1650 SOrem, UT 84097-8061
Phone 801-946-0059
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