Renae De Well
Behavior Technician in Layton, UT. Individual provider (NPI-1).
NPI number1801547773
StatusActive
Last updated in NPPESJan 12, 2022
Details
- NPI
- 1801547773
- Entity type
- Individual (NPI-1)
- Name
- Renae De Well
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2022
- Certification date
- Jan 12, 2022
- Last updated
- Jan 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2940 N Church StLayton, UT 84040-6614
Phone 858-264-5858
Mailing address
515 S 700 E Ste 2aSalt Lake City, UT 84102-2855
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All 637 Behavior Technician providers in Layton · All 3,481 providers in Layton
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