BRANTLEIGH J BANNON

SALT LAKE CITY, UT
NPI1215511191
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-05-07
Last Update Date2021-05-07
Business Address
BRANTLEIGH J BANNON
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 801-935-4171
Mailing Address
BRANTLEIGH J BANNON
318 N 400 E APT 303
PROVO, UT 84606-8009
Phone number:
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