| Beekidsutah | |
|
88 E 1000 N Tooele UT 84074-9693 | |
| (435) 249-0934 | |
| Not Available |
| Full Name | Beekidsutah |
|---|---|
| Speciality | Behavior Analyst |
| Location | 88 E 1000 N, Tooele, Utah |
| Authorized Official Name and Position | Brenna Wagner (OWNER/ BCBA) |
| Authorized Official Contact | 4358408166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beekidsutah 88 E 1000 N Tooele UT 84074-9693 Ph: (435) 249-0934 | Beekidsutah 88 E 1000 N Tooele UT 84074-9693 Ph: (435) 249-0934 |
| NPI Number | 1164132411 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/28/2022 |
| Certification Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164132411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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