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Individual

BRITTANY CARLISLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1305 N COMMERCE DR STE 120, SARATOGA SPRINGS, UT 84045-5309
(385) 557-7603
Mailing address
1305 N COMMERCE DR STE 120, SARATOGA SPRINGS, UT 84045-5309
(385) 557-7603

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12932889-2506
UT
106S00000X
Behavior Technician
175T00000X
Peer Specialist

Other

Enumeration date
11/27/2017
Last updated
08/02/2022
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