Individual
BREVIN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 S 850 E, LEHI, UT 84043-3990
(801) 255-5131
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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