Individual
GRACIE MARIE MOYSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
231 N MAIN ST STE 200, GARLAND, UT 84312-9369
(435) 851-5410
Mailing address
146 E 690 S, SMITHFIELD, UT 84335-4800
(435) 851-5410
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
14285025-2506
UT
103K00000X
Behavior Analyst
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2025
Last updated
04/29/2026
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