Individual
SETH ROGER WILHELMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
2985 N 935 E STE 7, LAYTON, UT 84040
(801) 771-0273
Mailing address
651 LAVINA DR, SOUTH OGDEN, UT 84403-3811
(801) 668-8206
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39930
UT
106S00000X
Behavior Technician
RBT-18-63729
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578983318
—
UT
Enumeration date
08/23/2018
Last updated
01/09/2020
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