Dudley, Carissa

Dudley, Carissa is an sole proprietor health care provider with primary practice located at 8031 S 700 E , Sandy UT 84070-0555. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Dudley, Carissa can be contacted via phone (385) 695-2203.

Contact Information

Primary practice address
8031 S 700 E Sandy UT 84070-0555
Phone: (385) 695-2203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1205566551
LBN Legal business name Dudley, Carissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2022
Last updated Jun 10th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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