Individual
EDRIC THORUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1570 N MAIN ST, SPANISH FORK, UT 84660-1006
(801) 210-9319
(801) 210-2090
Mailing address
1570 N MAIN ST, SPANISH FORK, UT 84660-1006
(801) 210-9319
(801) 210-2090
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
12/12/2023
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