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1902419567
BRAYDEN LANCE BUTTARS
PROVO, UT
NPI
1902419567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: UT RBT-20-120673)
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
BRAYDEN LANCE BUTTARS
180 N UNIVERSITY AVE STE 270
PROVO, UT 84601-5648
Phone number: 818-241-6853
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Mailing Address
BRAYDEN LANCE BUTTARS
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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