Most Relevant Information
Provider Data
| NPI Number: | 1003689357 |
| Provider Name: | AMY LAURA PHILLIPS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/30/2023 |
| Last Updated: | 10/30/2023 |
Provider Practice Location
331 W 2700 S
SOUTH SALT LAKE
UT
841152904
Practice Location Phone/Fax
| Phone: | 8016783317 |
| Fax: |
Provider Mailing Location
331 W 2700 S
SOUTH SALT LAKE
UT
841152904
Provider Mailing Phone/Fax
| Phone: | 8016783317 |
| Fax: |