Maryanne Medina
Maryanne Medina is a Behavior Technician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2023.
- Licensed in
- UT
- In the registry since
- 2023
Practice location Address checks out
780 S Guardsman WaySalt Lake City, UT 84108-1374
Phone: (801) 581-0194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-25-406398 (UT) |
|---|
Record details
| NPI number | 1417736158 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 22, 2023 |
| Last updated in NPPES | January 27, 2025 |
| Certification date | January 27, 2025 |
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