NPI 1023585775

Autumn Spann, RBT

Practitioner Behavior Technician Urie, WY

Practice location

Address: 210 Aspen St, Urie, WY 82937
Phone: (307) 747-3005

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-18-68301 (WY)

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Registry record

NPI: 1023585775
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2018
Record last updated: 31 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.