BRAXTON LEWIS

SOUTH OGDEN, UT
NPI1932806791
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: UT  RBT-23-257300)
Enumeration Date2023-02-13
Last Update Date2023-02-13
Business Address
BRAXTON LEWIS RBT
6033 FASHION POINT DR
SOUTH OGDEN, UT 84403-4847
Phone number: 801-663-4316
Mailing Address
BRAXTON LEWIS RBT
1105 W RUSSELL ST
SIOUX FALLS, SD 57104-1322
Phone number: 605-271-2690
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