Individual
BRYANNA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(317) 615-9454
Mailing address
46 W LESTER AVE UNIT G11, MURRAY, UT 84107-7138
(317) 615-9454
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-18-61628
UT
Other
Enumeration date
07/28/2018
Last updated
08/06/2020
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