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Shalissa Lyndzie Fellows Valid NPI

Individual provider · Behavior Technician · Herriman, UT

NPI
1881248433
Type
Individual (Type 1)
Primary specialty
Behavior Technician
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
106S00000X
Sex
Female
Sole proprietor
No
Enumerated
2019-07-31
Last updated
2019-07-31
Practice location
13947 S Newburg Dr
Herriman, UT 84096-6787
(801) 506-6695

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