Most Relevant Information
Provider Data
| NPI Number: | 1003492398 |
| Provider Name: | KARISSA ROMERO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/18/2021 |
| Last Updated: | 03/18/2021 |
Provider Practice Location
415 MEDICAL DR STE D101
BOUNTIFUL
UT
840108905
Practice Location Phone/Fax
| Phone: | 8016831062 |
| Fax: |
Provider Mailing Location
415 MEDICAL DR STE D101
BOUNTIFUL
UT
840108905
Provider Mailing Phone/Fax
| Phone: | 8016831062 |
| Fax: |