Individual
ALEXANDRA ELIZABETH GRYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1140 36TH ST STE 111, OGDEN, UT 84403-2062
(385) 238-4734
Mailing address
50 N 1400 W, CLEARFIELD, UT 84015-8627
(704) 402-2044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11824360-2506
UT
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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