NPI 1063168557

Mazi Marcel Womack

Practitioner Behavior Technician Pleasant Grove, UT

Practice location

Address: 533 W State Rd STE 103, Pleasant Grove, UT 84062-2114
Phone: (801) 506-6695

Registered specialties (2)

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Utah →

Community Health Worker

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Utah →

Registry record

NPI: 1063168557
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2022
Record last updated: 23 Feb 2022

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.