| Alan Tribble Behavior Analyst Llc | |
|
3274 E Oakcliff Dr Salt Lake City UT 84124-5660 | |
| (801) 696-7319 | |
| Not Available |
| Full Name | Alan Tribble Behavior Analyst Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3274 E Oakcliff Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Alan Lee Tribble (OWNER/THERAPIST) |
| Authorized Official Contact | 8016967319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Tribble Behavior Analyst Llc 3274 E Oakcliff Dr Salt Lake City UT 84124-5660 Ph: (801) 696-7319 | Alan Tribble Behavior Analyst Llc 3274 E Oakcliff Dr Salt Lake City UT 84124-5660 Ph: (801) 696-7319 |
| NPI Number | 1720643778 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 05/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720643778 | NPI | - | NPPES |
| 1225426786 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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