Individual
TRENT SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7686 S WOODHUE CT, WEST JORDAN, UT 84081-3660
(801) 631-5074
Mailing address
4010 SE DIVISION ST APT 3D, PORTLAND, OR 97202-1694
(801) 631-5074
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/26/2019
Last updated
08/24/2021
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