NPI 1114418761

Michele Shields

Practitioner Assistant Behavior Analyst Salt Lake City, UT

Practice location

Address: 358 S 700 E STE B307, Salt Lake City, UT 84102-2161
Phone: (801) 935-5796

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 106500000X (UT)

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Registry record

NPI: 1114418761
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2018
Record last updated: 18 May 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.