| Re Therapy Services | |
|
727 S Main St Spanish Fork UT 84660-2449 | |
| (801) 210-9319 | |
| (801) 210-2090 |
| Full Name | Re Therapy Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 727 S Main St, Spanish Fork, Utah |
| Authorized Official Name and Position | Alycen Decosta (OWNER) |
| Authorized Official Contact | 8012109319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Re Therapy Services 727 S Main St Spanish Fork UT 84660-2449 Ph: (801) 210-9319 | Re Therapy Services 727 S Main St Spanish Fork UT 84660-2449 Ph: (801) 210-9319 |
| NPI Number | 1124518139 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124518139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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