LELAJANE WIXOM, RBT

Behavior Technician

Active Individual
NPI: 1104690304

Practice Address

415 MEDICAL DR STE A100
Bountiful, UT 84010

Phone: (801) 683-1062

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1104690304 is the National Provider Identifier for LELAJANE WIXOM, RBT, a Behavior Technician provider located in Bountiful, UT. This NPI was enumerated on November 8, 2023.
LELAJANE WIXOM, RBT practices at 415 MEDICAL DR STE A100, Bountiful, UT 84010.

Quick Facts

NPI
1104690304
Type
Individual
Enumerated
Nov 8, 2023
Last Updated
Sep 13, 2024

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