Moneta Mack
Moneta Mack is a Behavior Technician in Brigham City, Utah. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
60 S Main St Ste B0001Brigham City, UT 84302-6795
Phone: (435) 239-8768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1245905116 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 12, 2021 |
| Last updated in NPPES | August 12, 2021 |
| Certification date | August 12, 2021 |
| Mailing address | 60 S Main St Ste B0001, Brigham City, UT 84302-6795 |
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