Individual
ANTHONY JACK BUCKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 W BROADWAY STE 700, SALT LAKE CITY, UT 84101-2060
(385) 494-3500
Mailing address
2493 W 12340 S, RIVERTON, UT 84065-7168
(385) 866-4462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-421812
UT
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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