NPI | 1497254304 |
---|---|
Entity Type | Organization |
Authorized Contact | COBILYNN R DICKINSON Executive Director 801-450-3164 |
Organization Subpart ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103K00000X Behavior Analyst | |
103TC0700X Psychologist, Clinical | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2018-02-06 |
Last Update Date | 2018-02-06 |