Individual
MR. BRAYDON P CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 W 1130 S, SUITE B, OREM, UT 84058
(801) 935-4171
Mailing address
772 W 500 S, LEHI, UT 84043-2540
(801) 413-6458
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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