Individual
ETHAN DAVID HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1370 S WEST TEMPLE, SALT LAKE CITY, UT 84115-5218
(801) 893-8417
Mailing address
1370 S WEST TEMPLE, SALT LAKE CITY, UT 84115-5218
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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