Most Relevant Information
Provider Data
| NPI Number: | 1003633439 |
| Provider Name: | ANGELA CROW |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/25/2024 |
| Last Updated: | 09/25/2024 |
Provider Practice Location
415 MEDICAL DR STE A100
BOUNTIFUL
UT
840104995
Practice Location Phone/Fax
| Phone: | 8016831062 |
| Fax: |
Provider Mailing Location
415 MEDICAL DR STE A100
BOUNTIFUL
UT
840104995
Provider Mailing Phone/Fax
| Phone: | 8016831062 |
| Fax: |