Marissa Stoddard
Behavior Technician in Draper, UT. Individual provider (NPI-1).
NPI number1982102471
StatusActive
Last updated in NPPESJan 30, 2018
Details
- NPI
- 1982102471
- Entity type
- Individual (NPI-1)
- Name
- Marissa Stoddard
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2018
- Last updated
- Jan 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12222 S 1000 EDraper, UT 84020-8278
Phone 801-987-3592
Mailing address
12222 S 1000 EDraper, UT 84020-8278
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