Individual
BRENNAN JON ROSENLOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1140 W 1130 S, BLDG B, OREM, UT 84058-2888
(801) 935-4171
Mailing address
129 N 1100 W, PROVO, UT 84601-2443
(801) 891-0404
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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