Individual
IAN Q POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2940 N CHURCH ST STE 303, LAYTON, UT 84040-6617
(801) 935-4171
(801) 935-4946
Mailing address
2940 N CHURCH ST STE 303, LAYTON, UT 84040-6617
(801) 935-4171
(801) 935-4946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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