# NEUROSUCCESS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518589670
- **Authorized official:** JEAN REYES (OWNER)
- **Authorized official phone:** (385) 319-0395

## Contact information

- **Practice address:** 331 E 200 S, CLEARFIELD, UT 84015-1007
- **Practice address phone:** (385) 319-0395
- **Mailing address:** 331 E 200 S, CLEARFIELD, UT 84015-1007
- **Mailing address phone:** (385) 319-0395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2020
- **Last updated:** 05/12/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3006175 | — | UT |