| Radiant Behavior Solutions, Llc. | |
|
430 W 810 N Logan UT 84321-5753 | |
| (916) 677-7815 | |
| Not Available |
| Full Name | Radiant Behavior Solutions, Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 430 W 810 N, Logan, Utah |
| Authorized Official Name and Position | Kylie Russell (OWNER, BCBA) |
| Authorized Official Contact | 9166777815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Behavior Solutions, Llc. 430 W 810 N Logan UT 84321-5753 Ph: (916) 677-7815 | Radiant Behavior Solutions, Llc. 430 W 810 N Logan UT 84321-5753 Ph: (916) 677-7815 |
| NPI Number | 1790463131 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790463131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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