Individual
JOHNNY WESLEY NEW IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 5600 S STE 110, MURRAY, UT 84107-8153
(866) 375-2437
Mailing address
111 E 5600 S STE 110, MURRAY, UT 84107-8153
(866) 375-2437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB738283
UT
Other
Enumeration date
11/02/2021
Last updated
07/03/2025
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