DIEDRA DECORSO
Behavior Technician
Active
Individual
NPI: 1619707478
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | RBT-24-388631 (UT) |
Frequently Asked Questions
NPI 1619707478 is the National Provider Identifier for DIEDRA DECORSO, a Behavior Technician provider located in Bountiful, UT. This NPI was enumerated on August 6, 2024.
DIEDRA DECORSO practices at 415 MEDICAL DR STE A100, Bountiful, UT 84010.
Quick Facts
- NPI
- 1619707478
- Type
- Individual
- Enumerated
- Aug 6, 2024
- Last Updated
- Sep 16, 2025
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