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1174353478
ETHAN SHEPARD ALLEN EDWARDS
LEHI, UT
NPI
1174353478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
ETHAN SHEPARD ALLEN EDWARDS RBT
220 N 1200 E STE 102
LEHI, UT 84043-5863
Phone number: 801-655-4950
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Mailing Address
ETHAN SHEPARD ALLEN EDWARDS RBT
1443 W 800 N STE 103
OREM, UT 84057-2878
Phone number: 801-655-4950
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