Neurosuccess, Inc | |
331 E 200 S Clearfield UT 84015-1007 | |
(385) 319-0395 | |
Not Available |
Full Name | Neurosuccess, Inc |
---|---|
Speciality | Behavior Analyst |
Location | 331 E 200 S, Clearfield, Utah |
Authorized Official Name and Position | Jean Reyes (OWNER) |
Authorized Official Contact | 3853190395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Neurosuccess, Inc 331 E 200 S Clearfield UT 84015-1007 Ph: (385) 319-0395 | Neurosuccess, Inc 331 E 200 S Clearfield UT 84015-1007 Ph: (385) 319-0395 |
NPI Number | 1518589670 |
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Provider Enumeration Date | 05/12/2020 |
Last Update Date | 05/12/2020 |
Certification Date | 05/12/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518589670 | NPI | - | NPPES |
3006175 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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