Individual
JOSHUA D BOKOVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 S 700 E, SALT LAKE CITY, UT 84102-2801
(801) 709-4504
Mailing address
515 S 700 E, SALT LAKE CITY, UT 84102-2801
(801) 709-4504
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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