| 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 |