GAVIN BLACK

SOUTH OGDEN, UT
NPI1427890474
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: UT  RBT-24-352986)
Enumeration Date2024-06-11
Last Update Date2024-06-11
Business Address
GAVIN BLACK RBT
6033 FASHION POINT DR
SOUTH OGDEN, UT 84403-4847
Phone number: 605-271-2690
Mailing Address
GAVIN BLACK RBT
1105 W RUSSELL ST
SIOUX FALLS, SD 57104-1322
Phone number:
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