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1427848357
TYLER CLARK MCDOUGAL
PROVIDENCE, UT
NPI
1427848357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: UT RBT-25-433491)
Enumeration Date
2025-05-12
Last Update Date
2025-05-12
Business Address
TYLER CLARK MCDOUGAL RBT
545 W 465 N STE 150
PROVIDENCE, UT 84332-8005
Phone number: 801-655-4950
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Mailing Address
TYLER CLARK MCDOUGAL RBT
1443 W 800 N STE 103
OREM, UT 84057-2878
Phone number: 801-655-4950
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