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1174158687
VITTAWAT SRIPHONGNGARM
DRAPER, UT
NPI
1174158687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: UT 1-19-36623)
Enumeration Date
2020-03-04
Last Update Date
2023-10-22
Business Address
VITTAWAT SRIPHONGNGARM BCBA
12637 S 265 W
DRAPER, UT 84020-5400
Phone number: 801-998-8428
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Mailing Address
VITTAWAT SRIPHONGNGARM BCBA
12637 S 265 W
DRAPER, UT 84020-5400
Phone number: 801-998-8428
Copy
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