JUSTINE MARIE BALLARD

WEST JORDAN, UT
NPI1235425265
Former NameJUSTINE MARIE SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence:   0-11-4131)
Enumeration Date2011-06-28
Last Update Date2012-02-13
Business Address
Mrs. JUSTINE MARIE BALLARD BCaBA
7053 S 2310 W
WEST JORDAN, UT 84084-3009
Phone number: 801-255-5131
Mailing Address
Mrs. JUSTINE MARIE BALLARD BCaBA
1051 E 560 N
PROVO, UT 84606-2047
Phone number: 719-930-5908
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