Organization
BX REDIRECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANDRA KAYE PIPKIN M.ED., BCBA (OWNER/CEO)
(801) 923-8773
Entity
Organization
Contact information
Practice address
7456 S 1740 E, SOUTH WEBER, UT 84405-6636
(801) 923-8773
Mailing address
7456 S 1740 E, SOUTH WEBER, UT 84405-6636
(801) 923-8773
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/10/2015
Last updated
03/12/2016
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