Bx Redirect | |
7456 S 1740 E South Weber UT 84405-6636 | |
(801) 923-8773 | |
Not Available |
Full Name | Bx Redirect |
---|---|
Speciality | Behavior Analyst |
Location | 7456 S 1740 E, South Weber, Utah |
Authorized Official Name and Position | Shandra Kaye Pipkin (OWNER/CEO) |
Authorized Official Contact | 8019238773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bx Redirect 7456 S 1740 E South Weber UT 84405-6636 Ph: (801) 923-8773 | Bx Redirect 7456 S 1740 E South Weber UT 84405-6636 Ph: (801) 923-8773 |
NPI Number | 1225406051 |
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Provider Enumeration Date | 09/10/2015 |
Last Update Date | 03/12/2016 |
Identifier | Type | State | Issuer |
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1225406051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |