Individual
MR. JAMES MATTHEW UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, BCBA
Contact information
Practice address
4444 S 700 E STE 203, MURRAY, UT 84107-3075
(801) 268-4887
Mailing address
4444 S 700 E STE 203, MURRAY, UT 84107-3075
(801) 268-4887
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
7964844-2506
UT
1041C0700X
Clinical Social Worker
Primary
7964844-3501
UT
Other
Enumeration date
08/05/2015
Last updated
05/20/2019
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